Organization
MUNSON HEALTHCARE MANISTEE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MARINOFF (PRES/CEO SOUTH REGION)
(231) 352-2285
Entity
Organization
Contact information
Practice address
1465 E PARKDALE AVE, MANISTEE, MI 49660-9785
(231) 398-1000
(231) 398-0364
Mailing address
1465 E PARKDALE AVE, MANISTEE, MI 49660-9785
(231) 398-1000
(231) 398-0364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
MI
282N00000X
General Acute Care Hospital
Primary
510020
MI
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00198
BLUE CROSS
MI
05
—
1556474
—
MI
05
—
4971251
—
MI
05
—
5172278
—
MI
Enumeration date
10/02/2006
Last updated
04/20/2026
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