MEMORIAL HOSPITAL NPI 1316008006

NPI Information

NPI: 1316008006
Provider Name: MEMORIAL HOSPITAL

Doing Business As: MEMORIAL MEDICAL ASSOCIATES

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
826 W KING ST
OWOSSO, MI
ZIP 48867
Phone: (989) 723-5211
Get Directions

MEMORIAL HOSPITAL is a general practice in Owosso, 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 MEMORIAL HOSPITAL NPI is 1316008006. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Medical Associates.

The provider's business location address is:

826 W KING ST
OWOSSO, MI
ZIP 48867-120
Phone: (989) 723-5211
Fax: (989) 723-9446

The provider's authorized official is Jorri M Tremain .
The authorized official title is Cfo and has the following contact phone number (989) 729-4466.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 9/21/2022.

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	207Q00000X	Family Medicine				No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	1060000059	MICHIGAN	No
3	207RG0100X	Internal Medicine	Gastroenterology			No
4	207RH0003X	Internal Medicine	Hematology & Oncology			No
5	207V00000X	Obstetrics & Gynecology		1060000059	MICHIGAN	No
6	207X00000X	Orthopaedic Surgery		1060000059	MICHIGAN	No
7	207YS0123X	Otolaryngology	Facial Plastic Surgery	1060000059	MICHIGAN	No
8	208000000X	Pediatrics				No
9	208100000X	Physical Medicine & Rehabilitation				No
10	2083X0100X	Preventive Medicine	Occupational Medicine			No
11	2084N0400X	Psychiatry & Neurology	Neurology	1060000059	MICHIGAN	No
12	208600000X	Surgery		106000059	MICHIGAN	No
13	363A00000X	Physician Assistant				No
14	363LF0000X	Nurse Practitioner	Family			No
15	208D00000X	General Practice				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	1316008006	MEDICAID	MICHIGAN
2	080G810270	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD

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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