MUNSON HEALTHCARE GRAYLING NPI 1093349698

NPI Information

NPI: 1093349698
Provider Name: MUNSON HEALTHCARE GRAYLING

Doing Business As: MIO PRIMARY CARE

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

Specialization: Rural Health

Address:
1321 S MOUNT TOM RD
MIO, MI
ZIP 48647
Phone: (989) 344-5820
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MUNSON HEALTHCARE GRAYLING is a rural health clinic center in Mio, MI. MUNSON HEALTHCARE GRAYLING NPI is 1093349698. The provider is registered as an organization entity type.
The provider Is Doing Business As Mio Primary Care.

The provider's business location address is:

1321 S MOUNT TOM RD
MIO, MI
ZIP 48647-518
Phone: (989) 344-5820
Fax: (231) 392-7338

The provider's authorized official is Kirsten Korth-white .
The authorized official title is President/ceo East Region and has the following contact phone number (989) 348-0720.

The CLIA number assigned to this NPI record is 23D2179772 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2020 and was last updated on 4/2/2024.

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	261QR1300X	Clinic/Center	Rural Health			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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