NPIMap

Organization Active NPI

Munson Healthcare Charlevoix Hospital

Doing business as Munson Healthcare Jordan Valley Medicine

  • Rural Health Clinic/Center
  • East Jordan, MI
National Provider Identifier
1013550151
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Doing business as
Munson Healthcare Jordan Valley Medicine
Practice address
100 Main Street
East Jordan, MI 49727
Phone
(231) 547-6554
Fax
(231) 547-1179
NPI assigned
Oct 22, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MUNSON HEALTHCARE CHARLEVOIX HOSPIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Hepler
Title
VP and Cfo
Phone
(231) 935-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

100 Main Street
East Jordan, MI 49727

Mailing address

100 Main Street
East Jordan, MI 49727
Phone (231) 547-6554

Other names 1

  • Munson Healthcare Jordan Valley Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charlevoix Hospital13 organizations share this tax ID, including this one
Part of
Charlevoix Hospital

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/c2zKUJGtYfzLNz84SXqRj8NdAMFQCK1P/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1013550151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN STREET",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "49727",
            "telephone_number": "231-547-6554",
            "fax_number": "231-547-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN STREET",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "49727",
            "telephone_number": "231-547-6554",
            "fax_number": "231-547-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON HEALTHCARE CHARLEVOIX HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNSON HEALTHCARE CHARLEVOIX HOSPI",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "HEPLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP AND CFO",
        "authorized_official_telephone_number": "231-935-6512"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munson Healthcare Jordan Valley Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Jordan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.