MUNSON HEALTHCARE GRAYLING (NPI# 1710383351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710383351 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE GRAYLING |
| Other Organization Name | ROSCOMMON COMMUNITY HEALTH CENTER |
| Practice Address |
234 Lake St Roscommon MI 48653-9203 |
| Mailing Address |
1105 Sixth St Traverse City MI 49684-2349 |
| Practice Telephone | 9892751200 |
| Mailing Telephone | 2319355000 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | MR. MARK A HEPLER (CFO) |
| Authorized Official Telephone | 2319355000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNSON HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 238573 | 05 | |
| BCBS | 00030 | 01 |
| Other Name | Type Code |
|---|---|
| ROSCOMMON COMMUNITY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788639 | Munson Healthcare Grayling | Family Medicine | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-09 |
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1508492133 | Munson Healthcare Grayling | Internal Medicine | 1200 W North Down River Rd Ste C, Grayling, MI 49738-8024 | 2020-03-16 |
| 1093349698 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2020-02-24 |
| 1235789751 | Munson Healthcare Grayling | Clinic/Center | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | 2019-09-17 |
| 1245892546 | Munson Healthcare Grayling | Audiologist | 1250 E Michigan Ave Ste C, Grayling, MI 49738-7074 | 2019-07-08 |
| 1598131617 | Munson Healthcare Grayling | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2015-08-12 |
| 1952787129 | Munson Healthcare Grayling | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-08-10 |
| 1689050858 | Munson Healthcare Grayling | Psychologist | 1250 E Michigan Ave, Grayling, MI 49738-7074 | 2015-08-10 |
| 1578961660 | Munson Healthcare Grayling | Orthopaedic Surgery | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2014-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MUNSON HEALTHCARE GRAYLING HOSPITAL | 1100 E Michigan Ave, Grayling, MI 49738-1312 |
| Street Address |
234 LAKE ST |
| City | ROSCOMMON |
| State | MI |
| Zip Code | 48653-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376597807 | Mhsn Roscommon Mpca | Clinic/Center | 234 Lake St, Roscommon, MI 48653-9203 | 2006-05-20 |
| 1811347479 | Allyson Barker | Family Medicine | 234 Lake St, Roscommon, MI 48653-9203 | 2016-06-15 |
| 1598131617 | Munson Healthcare Grayling | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2015-08-12 |
| 1306277421 | Setu Sharma | General Acute Care Hospital | 234 Lake St, Roscommon, MI 48653-9203 | 2013-12-01 |
| 1437390648 | Mercy Hospital Grayling | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2009-03-18 |
| 1306096516 | Mhsn Roscommon Mpca | Psychologist | 234 Lake St, Roscommon, MI 48653-9203 | 2008-09-24 |
| 1205025046 | Amorette Leann Anderson | Nurse Practitioner | 234 Lake St, Roscommon, MI 48653-9203 | 2007-10-17 |
| 1215953948 | Mark E Dibbet | Family Medicine | 234 Lake St, Roscommon, MI 48653-9203 | 2006-07-14 |
| 1205852936 | Timothy J Thornton | Family Medicine | 234 Lake St, Roscommon, MI 48653-9203 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588106892 | Amanda Howe | Dental Hygienist | 135 Lake Street, Roscommon, MI 48653 | 2016-11-17 |
| 1861949471 | Christopher Michels | Contractor | 403 Peach Rd, Roscommon, MI 48653 | 2016-09-01 |
| 1114317336 | Valerie Louise Doebler | Occupational Therapy Assistant | 4450 E. Michigan Hwy., Roscommon, MI 48653 | 2015-01-26 |
| 1063664019 | Douglas C Mackintosh | Physical Therapist | 4079 West Marl Lake Dr, Roscommon, MI 48653 | 2008-10-21 |
| 1235354382 | Kevin B Rucinski Dds PC | Dentist | 188 Pine Bluffs, Roscommon, MI 48653 | 2007-04-16 |
| 1902021355 | Higgins Township Roscommon County Mich | Ambulance | 700 South Fifth Street, Roscommon, MI 48653 | 2007-04-13 |
| 1922172493 | Steven Carl Haertel | Chiropractor | 406 N 5th St, Roscommon, MI 48653 | 2006-11-17 |
| 1881775351 | Township Board of South Branch | Ambulance | 5245 N M-18, Roscommon, MI 48653 | 2006-10-18 |
| 1083712798 | Karrie Tieppo Williams | Dentist | 100 Sherwood Dr., Roscommon, MI 48653 | 2006-09-20 |
| 1386674661 | Rebecca L Smith | Counselor | 299h W Sunset, Roscommon, MI 48653 | 2006-07-03 |
| Find all providers in zip 48653 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376597807 | Mhsn Roscommon Mpca | Clinic/Center | 234 Lake St, Roscommon, MI 48653-9203 | 2006-05-20 |
| 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 | ||||
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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.