Organization
MUNSON MEDICAL CENTER
Active
Parent organization
MUNSON HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON HEALTHCARE
Authorized official
KATHLEEN MARIE LARAIA (PRESIDENT AND CEO)
(231) 392-8410
Entity
Organization
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2349
(231) 935-5000
Mailing address
PO BOX 1131, TRAVERSE CITY, MI 49685-1131
(231) 935-6181
(231) 935-7952
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00064
BLUE CROSS
MI
05
—
5171477
—
MI
Enumeration date
06/24/2005
Last updated
08/16/2024
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