Northern Michigan Regional Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

NORTHERN MICHIGAN REGIONAL HOSPITAL

Practice address

6135 Cressy St
Post Office Box 548
Indian River, MI 49749-5151

Phone

(231) 238-8908

Fax

(231) 238-4419

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Dave Zechman

Title

President, Ceo

Phone

(231) 487-4011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1114288735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "address_2": "ADMINISTRATION - CEO / (RURAL HEALTH CLINIC)",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "231-487-7684",
            "fax_number": "231-487-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 CRESSY ST",
            "address_2": "POST OFFICE BOX 548",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495151",
            "telephone_number": "231-238-8908",
            "fax_number": "231-238-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "ZECHMAN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "231-487-4011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Walter Morley, D.D.S.
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• Samantha M Neff
• Northern Internal Medicine PC
• Bonnie Paisley, LAC
• Paula Wilson LPC LLC
• Megan Peltz
• Beth Marie Powers, NP
• Alexi Raville, CTRS, CADC-DP, QMHP

• Rural Health Clinic/Center in Indian River, MI
• Providers in Indian River, MI by specialty
• Rural Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.