Organization
MUNSON MEDICAL CENTER
Active
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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