Organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Active
Parent organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Other names
Multi-Specialty Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Authorized official
MICHAEL FRYE MD (PRES. AMBULATORY & BUS. DEVELOPMENT)
(704) 458-8010
Entity
Organization
Contact information
Practice address
14700 LAKE SHORE DRIVE, CHARLEVOIX, MI 49720-1931
(231) 547-4024
(231) 547-8088
Mailing address
14700 LAKE SHORE DR, CHARLEVOIX, MI 49720-1931
(231) 547-4024
(231) 547-8088
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
208M00000X
Hospitalist Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001019
NORTHERN HEALTH PLAN
MI
01
—
134141100
COMP CARRIER US POSTAL SV
MI
01
—
20139
PRIORITY HEALTH PROFESSIO
MI
01
—
700A560010
BCBS MULTI GROUP
MI
01
—
CA
JVHL
MI
01
—
CD9821
MEDICARE RAILROAD GROUP
—
Enumeration date
10/27/2006
Last updated
04/17/2026
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