COMMUNITY MEMORIAL HOSPITAL (NPI# 1437477676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437477676 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL |
| Other Organization Name | CHEBOYGAN MEMORIAL HOSPITAL |
| Practice Address |
748 S Main St Cheboygan MI 49721-2220 |
| Practice Telephone | 2316271289 |
| Practice Fax Number | 2316271542 |
| Mailing Telephone | 2316271289 |
| Mailing Fax Number | 2316271542 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-09-15 |
| Authorized Official Name | MS. SUSAN ENO (BOARD) |
| Authorized Official Telephone | 2316277111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | L1391542 | MI | Hospitals |
| Other Name | Type Code |
|---|---|
| Cheboygan Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336632280 | Community Memorial Hospital | Clinic/Center | 104 S. West Street, Edgerton, OH 43517 | 2018-06-14 |
| 1528208162 | Community Memorial Hospital | Family Medicine | 100 West 4th St, Montrose, MO 64770 | 2009-02-23 |
| 1689842478 | Community Memorial Hospital | Clinic/Center | 122 2nd St. East, Mcclusky, ND 58463-0618 | 2008-02-14 |
| 1598945867 | Community Memorial Hospital | Clinic/Center | 101 Giesler Dr, Osceola, MO 64776-6297 | 2007-11-05 |
| 1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
| 1336103738 | Community Memorial Hospital | General Acute Care Hospital | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-04-13 |
| 1780150110 | Community Memorial Hospital | Clinic/Center | 107 Buffalo St, Antwerp, OH 45813-8434 | 2018-10-24 |
| 1164915021 | Community Memorial Hospital | Clinic/Center | 208 Columbus St, Hicksville, OH 43526-1250 | 2018-06-14 |
| 1891288866 | Community Memorial Hospital | Clinic/Center | 422 W River St, Antwerp, OH 45813-8417 | 2018-06-13 |
| 1609303692 | Community Memorial Hospital | Family Medicine | 164 Broad St, Hamilton, NY 13346-9575 | 2017-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL | 809 Jackson St, Burke, SD 57523-2065 |
| Virginia Business Entities | Community Memorial Hospital | 1755 N Mecklenburg Ave, P. O. Box 90, South Hill, Virginia 23970-4080 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | 400 Caldwell St, Staunton, IL 62088-1173 |
| Virginia Business Entities | Community Memorial Hospital Foundation | 1755 N Mecklenburg Ave, South Hill, Virginia 23970-4080 |
| New York State Corporations | COMMUNITY MEMORIAL HOSPITAL FOUNDATION, INC. | 150 Broad St., Hamilton, Ny 13346 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INC. | 2731 Healthcare Dr, Syracuse, NE 68446-7880 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INCORPORATED | 800 Memorial Dr Ste 1, Spring Valley, MN 55975-1055 |
| Street Address |
748 S MAIN ST |
| City | CHEBOYGAN |
| State | MI |
| Zip Code | 49721-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139443 | Madhuri Gogineni | Internal Medicine | 748 S Main St, Cheboygan, MI 49721-2220 | 2005-10-28 |
| 1790285237 | Alvin Mina | Physical Medicine & Rehabilitation | 748 S Main St, Cheboygan, MI 49721-2220 | 2018-02-20 |
| 1760927636 | Valerie Witt | Dental Hygienist | 748 S Main St, Suite B, Cheboygan, MI 49721-2220 | 2016-12-30 |
| 1427376664 | Community Memorial Hospital | General Acute Care Hospital | 748 S Main St, Cheboygan, MI 49721-2220 | 2010-05-12 |
| 1033373352 | Dominic Jerome Giallombardo | Physician Assistant | 748 S Main St, Cheboygan, MI 49721-2220 | 2008-07-16 |
| 1821138488 | Alan Vern Scott | Social Worker | 748 S Main St, Cheboygan, MI 49721-2220 | 2007-02-06 |
| 1306935663 | Community Memorial Hospital | Nurse Practitioner | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-10-12 |
| 1760571038 | Community Memorial Hospital | Physician Assistant | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-10-12 |
| 1669487237 | Northern Radiology, PC | Radiology | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-07-30 |
| 1841211588 | Community Memorial Hospital | Emergency Medicine | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505755 | Cheboygan Area High School - Counseling Room | Clinic/Center | 801 W Lincoln Ave, Cheboygan, MI 49721 | 2018-07-26 |
| 1073048542 | Emily K Stevens | Counselor | 520 North Main St., Suite 202, Cheboygan, MI 49721 | 2017-04-21 |
| 1093102311 | Ashley Richards | Physical Therapy Assistant | 428 S. Huron St., Cheboygan, MI 49721 | 2015-04-24 |
| 1750791505 | Walloon Lake Recovery Lodge, LLC | Counselor | 811 Sammons St, Cheboygan, MI 49721 | 2014-05-02 |
| 1891118535 | Bethanie Norton-boss | Occupational Therapist | 4016 W. Us23, Cheboygan, MI 49721 | 2014-01-31 |
| 1457780751 | Alicia Yokom | Physical Therapist | 12550 Goebel Road, Cheboygan, MI 49721 | 2013-11-06 |
| 1902121049 | Shellie Charboneau | Massage Therapist | 321 S. Huron, Cheboygan, MI 49721 | 2010-04-01 |
| 1215269287 | Bay Street Orthopaedics Pllc | Orthopaedic Surgery | 838 South Main, Cheboygan, MI 49721 | 2010-02-02 |
| 1598099137 | Vitalcare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 602 W. Seymour Street, Cheboygan, MI 49721 | 2009-09-30 |
| 1922243138 | Sarah B. Proctor | Acupuncturist | 520 N. Main St, Suite 303, Cheboygan, MI 49721 | 2008-12-03 |
| Find all providers in zip 49721 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124300553 | Navy | Special Hospital | 6683 Gawley Rd, Howell, MI 48843-8964 | 2011-09-12 |
| 1326279803 | Detroit Medical Center | Special Hospital | 39180 Citation Pl, Apt # 35104, Farmington Hills, MI 48331-4901 | 2009-08-02 |
| 1770746695 | Dimitre H Dimitrov | Special Hospital | 2215 Fuller Rd Dept Of, Ann Arbor, MI 48105-2303 | 2008-07-10 |
| 1255700365 | Bergman Veterinary Hospital | Special Hospital | 906 E State St, Cassopolis, MI 49031-9339 | 2015-09-18 |
| 1285021865 | Amanda Mccarthy-hurtig | Special Hospital | 812 Avis Dr, Ann Arbor, MI 48108-9649 | 2015-04-21 |
| 1356605158 | Ltach Specialists, P. | Special Hospital | 2772 Turtle Bluff Dr, Bloomfield Hills, MI 48302-0769 | 2012-06-27 |
| 1346508157 | Detroit Medical Center | Special Hospital | 4160 John R St, Detroit, MI 48201-2020 | 2012-04-30 |
| 1508006529 | Dmc | Special Hospital | 80 E Hancock St, Apt#1305, Detroit, MI 48201-1311 | 2009-03-03 |
| 1932348877 | Kresge Eye Institute | Special Hospital | 4717 Saint Antoine St, Detroit, MI 48201-1423 | 2009-02-17 |
| 1750535696 | Leo M. Madarang Md PC | Special Hospital | 3200 Beecher Rd, Ste 02, Flint, MI 48532-3685 | 2008-11-05 |
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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.