Organization
MUNISING MEMORIAL HOSPITAL ASSOCIATION
Active
Parent organization
MUNISING MEMORIAL HOSPITAL ASSOCIATION
Other names
Bay Care Medical Center Specialty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNISING MEMORIAL HOSPITAL ASSOCIATION
Authorized official
MR. JAMES PARKER (CEO)
(906) 387-4110
Entity
Organization
Contact information
Practice address
1500 SANDPOINT RD, MUNISING, MI 49862-1406
(906) 387-4338
Mailing address
1500 SANDPOINT RD, MUNISING, MI 49862-1406
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z21000
BLUE CROSS PIN
MI
Enumeration date
04/17/2019
Last updated
03/22/2024
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