NPIMap

Organization Active NPI

Munson Healthcare Grayling

Doing business as Munson Healthcare Mio Primary Care

  • Rural Health Clinic/Center
  • Mio, MI
National Provider Identifier
1235789751
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MUNSON HEALTHCARE GRAYLING
Doing business as
Munson Healthcare Mio Primary Care
Practice address
1321 S Mount Tom Rd
Mio, MI 48647-9518
Phone
(989) 275-1200
Fax
(989) 275-1210
NPI assigned
Sep 17, 2019
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MUNSON HEALTHCARE GRAYLINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Kirsten O Korth-White
Title
President/Ceo East Region
Phone
(989) 348-0720

Specialties & licenses 1

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

Addresses

Primary practice location

1321 S Mount Tom Rd
Mio, MI 48647-9518

Mailing address

1321 S Mount Tom Rd
Mio, MI 48647-9518
Phone (989) 275-1200

Other names 1

  • Munson Healthcare Mio Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Munson Healthcare Grayling11 organizations share this tax ID, including this one
Part of
Munson Healthcare Grayling

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1235789751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S MOUNT TOM RD",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486479518",
            "telephone_number": "989-275-1200",
            "fax_number": "989-275-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S MOUNT TOM RD",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486479518",
            "telephone_number": "989-275-1200",
            "fax_number": "989-275-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON HEALTHCARE GRAYLING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNSON HEALTHCARE GRAYLING",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "KORTH-WHITE",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/CEO EAST REGION",
        "authorized_official_telephone_number": "989-348-0720"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munson Healthcare Mio Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.