MEMORIAL HOSPITAL (NPI# 1598977787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598977787 |
Entity Type | Organization |
Organization Name | MEMORIAL HOSPITAL |
Other Organization Name | MEMORIAL HEALTHCARE |
Practice Address |
3337 W Britton Rd Perry MI 48872 |
Mailing Address |
826 W King St Owosso MI 48867 |
Practice Telephone | 5176253004 |
Mailing Telephone | 9897235211 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2010-12-01 |
Authorized Official Name | JOYCE BREMER (MANAGER CODING & PATIENT ACCOUNTS) |
Authorized Official Telephone | 9897235211 |
Is Organization Subpart | Y |
Parent Organization Name | MEMORIAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE RR GROUP | CE7951 | 01 | |
MI | 113320228 | 05 |
Other Name | Type Code |
---|---|
Memorial Healthcare | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528447992 | Memorial Hospital | General Acute Care Hospital | 1400 E. Boulder St. #3138, Colorado Springs, CO 80045 | 2015-05-19 |
1629469002 | Memorial Hospital | Family Medicine | 2319 Old Plank Road, Chester, IL 62233-1116 | 2015-02-06 |
1609073709 | Memorial Hospital | Nurse Practitioner | 9099 E Lansing Rd Ste B, Durand, MI 48429-1083 | 2007-07-02 |
1003025883 | Memorial Hospital | Psychiatric Residential Treatment Facility | 806 Central Ave Se, Albuquerque, NM 87102-3606 | 2007-05-21 |
1376759563 | Memorial Hospital | Family Medicine | 86 Savannah Lane, Bulan, KY 41722 | 2007-05-15 |
1639209232 | Memorial Hospital | Internal Medicine | 1480 N M 52, Owosso, MI 48867-1235 | 2007-03-06 |
1306973805 | Memorial Hospital | Physician Assistant | 207 Shirlwood Dr, Schenectady, NY 12306-3417 | 2007-02-28 |
1851338149 | Memorial Hospital | General Acute Care Hospital | 715 South Taft Avenue, Fremont, OH 43420-3200 | 2006-06-02 |
1316923485 | Memorial Hospital | Hospice Care, Community Based | 1412 6th Ave, York, PA 17403-2648 | 2005-12-20 |
1477548774 | Memorial Hospital | General Acute Care Hospital | 1785 4th Ave, York, PA 17403-2615 | 2005-09-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL | 224 E 2nd St, Dumas, TX 79029-3808 |
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL & HEALTH CARE CENTER | 800 W 9th St, Jasper, IN 47546-2514 |
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND COMMUNITY HEALTH FOUNDATION INC | 112 East Fifth Avenue, Antigo, WI 54409-2710 |
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND HOMES ASSOCIATION, INC. | 415 8th Ave Sw, Perham, MN 56573-1156 |
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MANOR | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MEDICAL CENTER | 400 Rosalind Redfern Grover Parkway, Midland, TX 79701-5846 |
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AT GULFPORT | 4500 13th St, Gulfport, MS 39501-2515 |
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL CENTRAL | 1400 E Boulder St, Colorado Springs, CO 80909-5533 |
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL EAST | 1404 Cross St, Shiloh, IL 62269-2988 |
System for Award Management (SAM) Entities | MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES | 1275 York Ave, New York, NY 10065-6007 |
Street Address |
3337 W BRITTON RD |
City | PERRY |
State | MI |
Zip Code | 48872 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508313065 | Lawrence Bogner II | Specialist/Technologist | 8418 W. Britton Rd, Perry, MI 48872 | 2016-09-01 |
1154723229 | Amy Cyrus | Nurse Practitioner | 220 East Third St., Perry, MI 48872 | 2014-09-20 |
1922151208 | Southwest Shiawassee Emergency Services Alliance | Ambulance | 145 S Main Street, Perry, MI 48872 | 2007-01-19 |
1255405866 | James Gilbert Morgan | Family Medicine | 3809 W Lansing Rd, Perry, MI 48872 | 2006-11-17 |
1164525127 | Cory Michael O'brien | Pharmacist | 520 N Main St, Perry, MI 48872 | 2006-09-06 |
1750946455 | Compassion Counseling Services, LLC. | Counselor | 115 Main Street, Perry, MI 48872 | 2019-05-08 |
1023477312 | Mika Orthodontics | Dentist | 110 N. Main St., Perry, MI 48872 | 2016-02-16 |
1164805685 | Jan Tse Liu | Family Medicine | 3337 Britton Rd, Perry, MI 48872 | 2015-07-01 |
1902168271 | David E Mika II | Dentist | 114 North Main Street, Perry, MI 48872 | 2012-06-13 |
1790901916 | Anil Kumar Rapeti | Pharmacist | 681 North Main Street, Perry, MI 48872 | 2007-04-17 |
Find all providers in zip 48872 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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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.