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Organization

MUNSON MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN LARAIA (PRESIDENT/CEO MMC)
(231) 392-8410
Entity
Organization

Contact information

Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Mailing address
PO BOX 1131, TRAVERSE CITY, MI 49685-1131
(231) 935-5000

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
MI
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20064
BLUE CROSS BEHAVIORAL
MI
Enumeration date
07/14/2008
Last updated
10/02/2024
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