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MUNSON MEDICAL CENTER NPI 1922030162


NPI Information

NPI: 1922030162
Provider Name: MUNSON MEDICAL CENTER

Doing Business As: MUNSON FAMILY PRACTICE RESIDENCY

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0900726

Address:
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-8000
Get Directions

MUNSON MEDICAL CENTER is a family medicine in Traverse City, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MUNSON MEDICAL CENTER NPI is 1922030162. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Munson Family Practice Residency.

The provider's business location address is:

1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI
ZIP 49684-823
Phone: (231) 935-8000
Fax: (231) 935-8099

The provider's authorized official is Mark Hepler .
The authorized official title is Vice President Of Finance and has the following contact phone number (231) 935-5000.

The CLIA number assigned to this NPI record is 23D0900726 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/7/2006 and was last updated on 8/23/2017.


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
1207Q00000XFamily MedicineYes

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
1080B812900OTHERMICHIGANBCBS GROUP NUMBER
2700B860160OTHERMICHIGANBCBS GROUP NUMBER
3CB9942OTHERMICHIGANRAILROAD MEDICARE GROUP #
421014OTHERMICHIGANPRIORITY HEALTH GROUP #
50B86016MEDICARE PIN

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

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