COMMUNITY MEMORIAL HOSPITAL NPI 1083658140

NPI Information

NPI: 1083658140
Provider Name: COMMUNITY MEMORIAL HOSPITAL

Doing Business As: CHEBOYGAN MEMORIAL HOSPITAL

Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

Address:
748 S MAIN ST
CHEBOYGAN, MI
ZIP 49721
Phone: (231) 627-5601
Get Directions

COMMUNITY MEMORIAL HOSPITAL is a rural general acute care hospital in Cheboygan, MI. COMMUNITY MEMORIAL HOSPITAL NPI is 1083658140. The provider is registered as an organization entity type.
The provider Is Doing Business As Cheboygan Memorial Hospital.

The provider's business location address is:

748 S MAIN ST
CHEBOYGAN, MI
ZIP 49721-220
Phone: (231) 627-5601
Fax: (231) 627-1471

The provider's authorized official is Susan A Eno .
The authorized official title is Board and has the following contact phone number (231) 627-7111.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 9/15/2010.

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	282NR1301X	General Acute Care Hospital	Rural	160020	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	23-0034	MEDICARE ID-TYPE UNSPECIFIED
2	1557767	MEDICAID	MICHIGAN
3	00141	OTHER	MICHIGAN	BLUE CROSS
4	5170424	MEDICAID	MICHIGAN

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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