NPIMap

Organization Active NPI

Community Memorial Hospital

  • Rural Health Clinic/Center
  • Cheboygan, MI
National Provider Identifier
1316968043
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COMMUNITY MEMORIAL HOSPITAL
Practice address
740 S Main St
Cheboygan, MI 49721-2220
Phone
(231) 627-9921
Fax
(231) 627-1312
NPI assigned
Jul 21, 2006
Last updated
Dec 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Mrs. Holly Campa
Title
Vice President/Finance
Phone
(231) 627-1203

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Rural Health Clinic/Center 261QR1300X MI Primary

Addresses

Primary practice location

740 S Main St
Cheboygan, MI 49721-2220

Mailing address

PO Box 419
Cheboygan, MI 49721-0419
Phone (231) 627-1438

Other names 1

  • IM Other name

National Provider Directory

National Provider Directory

Locations

626 N Main St
Cheboygan, MI 49721
Phone (231) 627-7118

748 S Main St
#419
Cheboygan, MI 49721
Phone (231) 627-1203

802 S Main St
Ste 1
Cheboygan, MI 49721
Phone (231) 627-1493

810 S Main St
Ste 4
Cheboygan, MI 49721
Phone (231) 627-6368

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1316968043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497210419",
            "telephone_number": "231-627-1438",
            "fax_number": "231-627-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-627-9921",
            "fax_number": "231-627-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "CAMPA",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "VICE PRESIDENT/FINANCE",
        "authorized_official_telephone_number": "231-627-1203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.