| Organization Name: | MUNSON HEALTHCARE CHARLEVOIX HOSPITAL |
| NPI Number: | 1912384843 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK HEPLER (CFO) |
| Mailing Address: | 14651 W Upright St Charlevoix |
| State: | MI US |
| Postal Code: | 497201266 |
| Phone Number: | 2315478833 |
| Fax Number: | 2315474753 |
| NPI Enumeration Date: | 04/29/2015 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |