MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (NPI# 1285867838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285867838 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL |
| Other Organization Name | OMH MEDICAL GROUP LEWISTON RHC |
| Practice Address |
3040 Bourn St Lewiston MI 49756 |
| Mailing Address |
829 N Center Ave Gaylord MI 49735-1595 |
| Practice Telephone | 9897864877 |
| Practice Fax Number | 9897862187 |
| Mailing Telephone | 9897312100 |
| Mailing Fax Number | 9897317929 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | MR. THOMAS R LEMON (CEO) |
| Authorized Official Telephone | 9897312215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
238620 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CMS CERTIFICATION NUMBER | 238620 | 01 |
| Other Name | Type Code |
|---|---|
| Munson Healthcare OMH Medical Group-Lewiston RHC | Doing Business As Name - Organization |
| OMH Medical Group Lewiston RHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028972 | Munson Healthcare Otsego Memorial Hospital | General Acute Care Hospital | 825 N Center Ave, Gaylord, MI 49735 | 2005-07-22 |
| 1992146807 | Munson Healthcare Otsego Memorial Hospital | General Practice | 2572 N Us Highway 131, Elmira, MI 49730 | 2013-07-09 |
| 1265871339 | Munson Healthcare Otsego Memorial Hospital | General Practice | 2572 N Us Highway 131, Elmira, MI 49730 | 2013-06-21 |
| 1639420557 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3860 S Straits Hwy, Indian River, MI 49749 | 2012-10-02 |
| 1053661231 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3860 S Straits Hwy, Indian River, MI 49749 | 2012-09-14 |
| 1538328364 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2008-06-06 |
| 1164628426 | Munson Healthcare Otsego Memorial Hospital | General Practice | 829 N Center Ave, Gaylord, MI 49735 | 2007-06-25 |
| 1093911364 | Munson Healthcare Otsego Memorial Hospital | General Practice | 1996 Walden Dr, Gaylord, MI 49735 | 2007-06-25 |
| 1447468442 | Munson Healthcare Otsego Memorial Hospital | Physician Assistant | 825 N Center Ave, Gaylord, MI 49735 | 2007-05-21 |
| 1487791695 | Munson Healthcare Otsego Memorial Hospital | General Practice | 1996 Walden Dr, Gaylord, MI 49735 | 2007-01-30 |
| Street Address |
3040 BOURN ST |
| City | LEWISTON |
| State | MI |
| Zip Code | 49756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992778807 | Kristin S Maschke | General Practice | 3040 Bourn St, Lewiston, MI 49756-8134 | 2006-02-10 |
| 1295383008 | Ashley Borowiak | Nurse Practitioner | 3040 Bourn St, Lewiston, MI 49756-8134 | 2019-08-27 |
| 1346601127 | Hannah B Russell | Physician Assistant | 3040 Bourn St, Lewiston, MI 49756-8134 | 2016-03-08 |
| 1649652298 | Stephanie Rutterbush | Family Medicine | 3040 Bourn St, Lewiston, MI 49756 | 2015-06-19 |
| 1265774269 | Lisa Ann Stier | Nurse Practitioner | 3040 Bourn St, Lewiston, MI 49756-8134 | 2013-03-18 |
| 1538328364 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2008-06-06 |
| 1801860440 | Michael R Mcnamara | General Practice | 3040 Bourn St, Lewiston, MI 49756-8134 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760495360 | Daniel Rand Woodruff | Chiropractor | 4556 Salling Avenue, Lewiston, MI 49756 | 2006-08-14 |
| 1720098395 | Township of Albert | Ambulance | 4196 Salling Ave, Lewiston, MI 49756 | 2006-08-08 |
| 1366631798 | John Peter Marconnit | Dentist | 3051 Bay Street, Lewiston, MI 49756 | 2007-10-22 |
| 1396758991 | Woodruff Family Chiropractic, P.C. | Chiropractor | 4556 Salling Ave, Lewiston, MI 49756 | 2006-08-14 |
| 1336159995 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 2855 South County Road 489, Lewiston, MI 49756-0097 | 2006-08-08 |
| 1841315090 | John P. Marconnit D.d.s., P.C. | Dental Laboratory | 3051 Bay Street, Lewiston, MI 49756-0170 | 2007-03-20 |
| 1760422455 | Toupin Chiropractic Clinics, P.C. | Chiropractor | 4556 Salling Ave, Lewiston, MI 49756-7852 | 2006-06-08 |
| 1124402136 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4580 Montmorency St, Lewiston, MI 49756-7862 | 2015-07-20 |
| 1891227450 | Constance Guthrie | Social Worker | 4580 Montmorency St, Lewiston, MI 49756-7862 | 2017-03-31 |
| 1457617508 | Mark Mitchell Mouzakis | Pharmacist | 2855 S County Road 489, Lewiston, MI 49756-8155 | 2012-04-03 |
| Find all providers in zip 49756 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589489 | Memorial Medical Center of West Michigan | General Acute Care Hospital | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1396732103 | West Branch Regional Medical Center | General Acute Care Hospital | 2463 S M 30, West Branch, MI 48661-9312 | 2005-10-06 |
| 1720589740 | Kathleen Grace Haas | General Acute Care Hospital | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-02-25 |
| 1083010953 | Munson Healthcare Grayling | General Acute Care Hospital | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2014-11-05 |
| 1548662893 | Marquette General Hosptial-dlp | General Acute Care Hospital | 580 W College Ave, Marquette, MI 49855-2736 | 2014-09-18 |
| 1306277421 | Setu Sharma | General Acute Care Hospital | 234 Lake St, Roscommon, MI 48653-9203 | 2013-12-01 |
| 1184947756 | Huron Valley Sinai Hospital | General Acute Care Hospital | 1 William Carls Dr, Ohs, Commerce Township, MI 48382-2201 | 2010-03-10 |
| 1598099699 | Sturgis Hospital, Inc. | General Acute Care Hospital | 916 Myrtle St, Sturgis, MI 49091-2326 | 2009-09-23 |
| 1144479338 | Bell Memorial Hospital | General Acute Care Hospital | 101 S 4th St, Ishpeming, MI 49849-2151 | 2008-09-12 |
| 1881877819 | Alpena Regional Medical Center Behavioral Health Services | General Acute Care Hospital | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2007-12-13 |
| Find all providers with the same taxonomy | ||||
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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.