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
JOYCE BREMER (MANAGER CODING & PATIENT ACCOUNTS)
(989) 723-5211
Entity
Organization
Contact information
Practice address
3337 W BRITTON RD, PERRY, MI 48872
(517) 625-3004
Mailing address
826 W KING ST, OWOSSO, MI 48867
(989) 723-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113320228
—
MI
01
—
CE7951
MEDICARE RR GROUP
—
Enumeration date
05/03/2007
Last updated
12/01/2010
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