MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL NPI 1487791695

NPI Information

NPI: 1487791695
Provider Name: MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Other Name: MEDCARE WALKIN CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1996 WALDEN DR
GAYLORD, MI
ZIP 49735
Phone: (989) 731-4111
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MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL is a general practice in Gaylord, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL NPI is 1487791695. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Medcare Walkin Clinic.

The provider's business location address is:

1996 WALDEN DR
GAYLORD, MI
ZIP 49735
Phone: (989) 731-4111
Fax: (989) 705-8511

The provider's authorized official is Thomas R. Lemon .
The authorized official title is Ceo and has the following contact phone number (989) 731-2230.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2018.

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	208D00000X	General Practice		690020	MICHIGAN	Yes

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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