Organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Active
Parent organization
MUNSON HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON HEALTHCARE
Authorized official
KIRSTEN BETHANY KORTH-WHITE (PRESIDENT/CEO EAST REGION)
(989) 348-0720
Entity
Organization
Contact information
Practice address
14700 LAKE SHORE DRIVE, CHARLEVOIX, MI 49720-1939
(231) 547-4024
(231) 547-8088
Mailing address
14700 LAKE SHORE DRIVE, CHARLEVOIX, MI 49720-1939
(231) 547-4024
(231) 547-8088
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
150021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00095
BLUE CARE NETWORK
MI
01
—
1001019
NORTHERN HEALTH PLAN
MI
01
—
134141100
COMP CARRIER US POSTAL SV
MI
05
—
1557598
—
MI
01
—
4286
PRIORITY HEALTH
MI
05
—
5170308
—
MI
Enumeration date
07/20/2006
Last updated
08/16/2024
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