MUNSON HEALTHCARE CADILLAC NPI 1912303728

NPI Information

NPI: 1912303728
Provider Name: MUNSON HEALTHCARE CADILLAC

Doing Business As: CADILLAC PRIMARY CARE & OBGYN

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

Specialization: Rural Health

Address:
7985 MACKINAW TRL
CADILLAC, MI
ZIP 49601
Phone: (231) 867-6200
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MUNSON HEALTHCARE CADILLAC is a rural health clinic center in Cadillac, MI. MUNSON HEALTHCARE CADILLAC NPI is 1912303728. The provider is registered as an organization entity type.
The provider Is Doing Business As Cadillac Primary Care & Obgyn.

The provider's business location address is:

7985 MACKINAW TRL
CADILLAC, MI
ZIP 49601-111
Phone: (231) 867-6200

The provider's authorized official is Peter Marinoff .
The authorized official title is President/ceo South Region and has the following contact phone number (231) 352-2259.

The enumeration date for this NPI number is 11/6/2014 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

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	238635	MEDICAID	MICHIGAN
2	00009	OTHER	MICHIGAN	BLUE CROSS

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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