Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
OMH Medical Group - Indian River RHC, Munson Healthcare OMH Medical Group-Indian River RHC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRYE MD (PRES AMBULATORY & BUS DEVELOPMENT)
(704) 458-8010
Entity
Organization
Contact information
Practice address
3860 S STRAITS HWY, INDIAN RIVER, MI 49749
(231) 238-0581
(231) 238-0586
Mailing address
271 MCCOY RD W, GAYLORD, MI 49735-8253
(989) 731-7777
(989) 731-7776
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
282NR1301X
Rural Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-8660
MEDICARE OSCAR/CERTIFICATION 2
MI
Enumeration date
10/02/2012
Last updated
04/17/2026
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