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MUNSON HEALTHCARE CHARLEVOIX HOSPITAL NPI 1326124058


NPI Information

NPI: 1326124058
Provider Name: MUNSON HEALTHCARE CHARLEVOIX HOSPITAL

Doing Business As: PHYSICIAN CLINIC OF CHARLEVOIX

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D2018511

Address:
14709 W. UPRIGHT STREET
CHARLEVOIX, MI
ZIP 49720
Phone: (231) 547-6519
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MUNSON HEALTHCARE CHARLEVOIX HOSPITAL is a pediatrics in Charlevoix, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MUNSON HEALTHCARE CHARLEVOIX HOSPITAL NPI is 1326124058. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physician Clinic Of Charlevoix.

The provider's business location address is:

14709 W. UPRIGHT STREET
CHARLEVOIX, MI
ZIP 49720-949
Phone: (231) 547-6519
Fax: (231) 547-5404

The provider's authorized official is Christine Wilhelm .
The authorized official title is Chief Operations Officer and has the following contact phone number (231) 547-4024.

The CLIA number assigned to this NPI record is 23D2018511 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/27/2006 and was last updated on 3/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMICHIGANNo
2207R00000XInternal MedicineMICHIGANNo
3208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10A51041OTHERMICHIGANBLUE SHIELD
20P60220MEDICARE PIN
30P60220MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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