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MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL NPI 1477615086


NPI Information

NPI: 1477615086
Provider Name: MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Doing Business As: OTSEGO MEMORIAL HOSPITAL

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
825 N CENTER AVE
GAYLORD, MI
ZIP 49735
Phone: (989) 731-2163
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MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL is a community/retail pharmacy pharmacy in Gaylord, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL NPI is 1477615086. The provider is registered as an organization entity type.
The provider Is Doing Business As Otsego Memorial Hospital.

The provider's business location address is:

825 N CENTER AVE
GAYLORD, MI
ZIP 49735
Phone: (989) 731-2163
Fax: (989) 731-2162

The provider's authorized official is Kathleen Laraia .
The authorized official title is Vp, Ancillary Services and has the following contact phone number (231) 392-8410.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/29/2023.


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
13336I0012XPharmacyInstitutional PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy5301002513MICHIGANYes

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
12041951OTHERPK
25171589MEDICAIDMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.