Organization
MCKENZIE MEMORIAL HOSPITAL
Active
Other names
McKenzie Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY RUEDISUELI (V.P. FINANCE)
(810) 648-6162
Entity
Organization
Contact information
Practice address
120 N DELAWARE ST, SANDUSKY, MI 48471-1009
(810) 648-6162
(810) 648-5058
Mailing address
120 N DELAWARE ST, SANDUSKY, MI 48471-1009
(810) 648-6162
(810) 648-5058
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1060000096
MI
275N00000X
Medicare Defined Swing Bed Hospital Unit
MI06100
MI
282NC0060X
Critical Access Hospital
Primary
760030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301555717
—
MI
05
—
405171190
—
MI
Enumeration date
06/15/2005
Last updated
10/21/2025
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