COMMUNITY MEMORIAL HOSPITAL NPI 1316968043

NPI Information

NPI: 1316968043
Provider Name: COMMUNITY MEMORIAL HOSPITAL

Other Name: IM

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
740 S MAIN ST
CHEBOYGAN, MI
ZIP 49721
Phone: (231) 627-9921
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COMMUNITY MEMORIAL HOSPITAL is a rural health clinic center in Cheboygan, MI. COMMUNITY MEMORIAL HOSPITAL NPI is 1316968043. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Im.

The provider's business location address is:

740 S MAIN ST
CHEBOYGAN, MI
ZIP 49721-220
Phone: (231) 627-9921
Fax: (231) 627-1312

The provider's authorized official is Holly Campa .
The authorized official title is Vice President/finance and has the following contact phone number (231) 627-1203.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 12/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	261QR1300X	Clinic/Center	Rural Health		MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0A66000	MEDICARE ID-TYPE UNSPECIFIED
2	238584	MEDICARE ID-TYPE UNSPECIFIED
3	110A610070	OTHER	MICHIGAN	GROUP BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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