Munising Memorial Hospital Association
Organization Active NPI Certified Registered Nurse Anesthetist · Munising, MI
NPI 1346569498 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1346569498
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- MUNISING MEMORIAL HOSPITAL ASSOCIATION
- Practice address
- 1500 Sandpoint Rd
Munising, MI 49862-1406 - Phone
- (906) 387-4110
- NPI assigned
- May 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Kevin Calhoun
- Title
- Ceo
- Phone
- (906) 387-4110
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 5
Practitioners 3
-
Laura M Lane, CRNA
-
Michael E Worden, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040528000989 | MI | Part B Supplier - Clinic/Group Practice | 9830170372 |
Receives reassigned benefits from 17 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Au Train, MI; Munising, MI; Grand Marais, MI |
National Provider Directory
- Tax ID family
- Baycare Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | MI | Yes |
Addresses
Primary practice location
1500 Sandpoint Rd
Munising, MI 49862-1406
Mailing address
1500 Sandpoint Rd
Munising, MI 49862-1406
Other providers in Munising, MI
- Cordelia Miller
- David John Miller
- Kora Mills
- Munising Chiropractic PLLC
- Munising Memorial Hospital
- Munising Memorial Hospital Association
- Munising Memorial Hospital Association
- Munising Memorial Hospital Association
- Munising Memorial Hospital Association
- Munising Opco, LLC
All providers in Munising, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.