Organization · Type 2 NPI

Munson Healthcare Charlevoix Hospital

Rural Health Clinic/Center · East Jordan, MI

NPI number 1013550151 Active

Practice location

100 Main Street
East Jordan, MI 49727

Fax (231) 547-1179

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1013550151
Entity type: Organization (Type 2)
Issued: Oct 22, 2019
Last updated: Oct 22, 2019
Status: Active
Subpart: Yes of Munson Healthcare Charlevoix Hospi

Other names

Munson Healthcare Jordan Valley Medicine · doing business as

Authorized official

Mark Hepler
VP and CFO
(231) 935-6512

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013550151

Munson Healthcare Charlevoix Hospital's National Provider Identifier is 1013550151, issued on Oct 22, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in East Jordan, MI. The record was last updated on Oct 22, 2019.