NPIMap

Organization Active NPI

Memorial Hospital

Doing business as Memorial Healthcare

  • Community/Retail Pharmacy
  • Owosso, MI
National Provider Identifier
1093198624
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEMORIAL HOSPITAL
Doing business as
Memorial Healthcare
Memorial Healthcare Specialty Pharmacy NOW
Practice address
819 N Shiawassee St Ste 105
Owosso, MI 48867-1601
Phone
(989) 729-4781
Fax
(989) 729-4970
NPI assigned
Jul 1, 2015
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Jorri M Tremain
Title
Chief Financial Officer
Phone
(989) 729-4466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

819 N Shiawassee St Ste 105
Owosso, MI 48867-1601

Mailing address

819 N Shiawassee St Ste 105
Owosso, MI 48867-1601
Phone (989) 729-4781

Other identifiers 5

IdentifierTypeStateIssuer
1093198624MedicaidMI
5000009OtherMIPHP IN/OUTPATIENT
M004774OtherMICHAMPUS IN/OUTPATIENT
00058OtherMIINPATIENT/OUTPATIENT/PSYC
1063414233MedicaidMI

Other names 2

  • Memorial Healthcare Doing business as
  • Memorial Healthcare Specialty Pharmacy NOW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180116000712 MI DME Supplier - PharmacyDME Supplier - Hospital 8527976497 Practice locations: Owosso, MI

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2162168Memorial Healthcare Institute for Neuroscience819 N Shiawassee Street Suite 110, Owosso, MI 48867Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Russell G Hug MD20 organizations share this tax ID, including this one
Part of
Russell G Hug MD

Other organizations with this tax ID 19

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

View all 19

Locations

721 N Shiawassee St
Owosso, MI 48867
Phone (989) 725-3940

819 N Shiawassee St
Ste 105
Owosso, MI 48867
Phone (989) 729-4781

826 W King St
#1117
Owosso, MI 48867

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1093198624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 105",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-729-4781",
            "fax_number": "989-729-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 105",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-729-4781",
            "fax_number": "989-729-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEMORIAL HOSPITAL",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "TREMAIN",
        "authorized_official_first_name": "JORRI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "989-729-4466"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093198624",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP IN/OUTPATIENT",
            "identifier": "5000009",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS IN/OUTPATIENT",
            "identifier": "M004774",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INPATIENT/OUTPATIENT/PSYC",
            "identifier": "00058",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063414233",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Healthcare Specialty Pharmacy NOW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.