| Organization Name: | MEMORIAL HOSPITAL |
| NPI Number: | 1205139409 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOYCE A BREMER (DIRECTOR OF PRACTICE MANAGEMENT) |
| Mailing Address: | 9099 E Lansing Rd Ste A Durand |
| State: | MI US |
| Postal Code: | 484291083 |
| Phone Number: | 9892882651 |
| Fax Number: | 9892882087 |
| NPI Enumeration Date: | 12/09/2010 |
| NPI Last Update Date: | 08/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |