Organization
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Active
Other names
Munson Healthcare McReynold's Hall, Munson Healthcare McReynolds Hall, Otsego Memorial Hospital LTCU
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN BETHANY KORTH-WHITE (PRES/CEO EAST REGION)
(989) 348-0720
Entity
Organization
Contact information
Practice address
825 N CENTER AVE, GAYLORD, MI 49735
(989) 731-2100
(989) 731-2205
Mailing address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2100
(989) 731-2205
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
693010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09539
SECOND BC ID
MI
01
—
15027
PRIMARY BC ID
MI
05
—
62 2000538
—
MI
Enumeration date
05/12/2006
Last updated
04/23/2026
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