Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Other names
IM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY CAMPA (VICE PRESIDENT/FINANCE)
(231) 627-1203
Entity
Organization
Contact information
Practice address
740 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-9921
(231) 627-1312
Mailing address
PO BOX 419, CHEBOYGAN, MI 49721-0419
(231) 627-1438
(231) 627-1471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110A610070
GROUP BLUE CROSS
MI
Enumeration date
07/21/2006
Last updated
12/08/2008
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