Organization
MEMORIAL HOSPITAL
Active
Parent organization
MEMORIAL HOSPITAL
Other names
Memorial Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL
Authorized official
JORRI M TREMAIN (CFO)
(989) 729-4466
Entity
Organization
Contact information
Practice address
200 HEALTH PARK DR STE 205, OWOSSO, MI 48867-1291
(989) 723-8666
(989) 725-1434
Mailing address
113 E WILLIAMS ST, OWOSSO, MI 48867-2360
(989) 725-6528
(989) 723-9446
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538795356
—
MI
Enumeration date
03/13/2020
Last updated
04/16/2024
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