| Organization Name: | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
| NPI Number: | 1255779484 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK A HEPLER (CFO) |
| Mailing Address: | 223 N Park St Boyne City |
| State: | MI US |
| Postal Code: | 497121220 |
| Phone Number: | 2315825314 |
| Fax Number: | 2315825338 |
| NPI Enumeration Date: | 06/10/2013 |
| NPI Last Update Date: | 01/19/2016 |
| 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: | |