MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (NPI# 1013550151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013550151 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
| Practice Address |
100 Main Street East Jordan MI 49727 |
| Practice Telephone | 2315476554 |
| Practice Fax Number | 2315471179 |
| Mailing Telephone | 2315476554 |
| Mailing Fax Number | 2315471179 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | MARK HEPLER (VP AND CFO) |
| Authorized Official Telephone | 2319356512 |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNSON HEALTHCARE CHARLEVOIX HOSPI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Munson Healthcare Jordan Valley Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1629154307 | Munson Healthcare Charlevoix Hospital | Obstetrics & Gynecology | 14651 W. Upright St, Charlevoix, MI 49720-1226 | 2006-10-27 |
| 1326124058 | Munson Healthcare Charlevoix Hospital | Family Medicine | 14709 W. Upright Street, Charlevoix, MI 49720-1949 | 2006-10-27 |
| 1346260692 | Munson Healthcare Charlevoix Hospital | General Acute Care Hospital | 14700 Lake Shore Drive, Charlevoix, MI 49720-1939 | 2006-07-20 |
| 1558904623 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2019-10-22 |
| 1730722810 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2019-10-22 |
| 1912384843 | Munson Healthcare Charlevoix Hospital | General Practice | 14651 W Upright St, Charlevoix, MI 49720-1266 | 2015-04-29 |
| 1255779484 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 223 N Park St, Boyne City, MI 49712-1220 | 2013-06-10 |
| 1992074777 | Munson Healthcare Charlevoix Hospital | Pediatrics | 14734 Park Ave, Charlevoix, MI 49720-1927 | 2011-12-22 |
| Street Address |
100 MAIN STREET |
| City | EAST JORDAN |
| State | MI |
| Zip Code | 49727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760090278 | William R Desjardins Dds PC | Dentist | 101 Maple Ridge Dr., East Jordan, MI 49727 | 2020-07-21 |
| 1427534924 | Richard L Mason | Pharmacist | 250 S Lake Street, East Jordan, MI 49727 | 2018-07-17 |
| 1952389629 | Richard Lewis Johnson Sr. | Dentist | 121 Main Street, East Jordan, MI 49727 | 2006-01-04 |
| 1558428177 | City of East Jordan | Ambulance | 201 Main Street, East Jordan, MI 49727 | 2007-01-02 |
| 1861402430 | William B Bice | Pharmacist | 100 Main St., Box 1229, East Jordan, MI 49727-1229 | 2006-08-08 |
| 1881195824 | Jaleesa O'neal | Physical Therapist | 100 Main St Ste 9, East Jordan, MI 49727-5114 | 2018-02-26 |
| 1154490241 | Sara Elizabeth Hall | Dentist | 121 Main St, East Jordan, MI 49727-5114 | 2006-11-06 |
| 1831663475 | Monarch Family Chiropractic LLC | Clinic/Center | 306 Main St, East Jordan, MI 49727-5127 | 2019-01-16 |
| 1033683677 | Martina Peterson | Chiropractor | 306 Main St, East Jordan, MI 49727-5127 | 2019-01-16 |
| 1770930943 | Cynthia Ann Pepin | Social Worker | 2765 S M 66, East Jordan, MI 49727-8005 | 2016-05-18 |
| Find all providers in zip 49727 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
| City | EAST JORDAN |
| Zip Code | 49727 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.