Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED P ANDERSON (VICE PRESIDENT/FINANCE)
(231) 627-1203
Entity
Organization
Contact information
Practice address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-1438
(231) 627-1471
Mailing address
PO BOX 419, CHEBOYGAN, MI 49721-0419
(231) 627-1438
(231) 627-1471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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