Organization Name: | MUNSON HEALTHCARE GRAYLING |
NPI Number: | 1083010953 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK A HEPLER (CFO) |
Mailing Address: | 1100 E Michigan Ave Grayling |
State: | MI US |
Postal Code: | 497381312 |
Phone Number: | 9893480594 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2014 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |