| Organization Name: | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
| NPI Number: | 1346260692 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK A HEPLER (CFO) |
| Mailing Address: | 14700 Lake Shore Drive Charlevoix |
| State: | MI US |
| Postal Code: | 497201939 |
| Phone Number: | 2315474024 |
| Fax Number: | 2315478088 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 01/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 150021 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |