Munson Healthcare Manistee Hospital
Organization Active NPI General Acute Care Hospital · Manistee, MI
NPI 1407949191 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1407949191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 510020 (MI)
- Legal business name
- MUNSON HEALTHCARE MANISTEE HOSPITAL
- Practice address
- 1465 E Parkdale Ave
Manistee, MI 49660-9785 - Phone
- (231) 398-1000
- Fax
- (231) 398-0364
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Peter Marinoff
- Title
- Pres/Ceo South Region
- Phone
- (231) 352-2285
Owners & managing parties with NPI records 2
-
Dino Recchia, M.D.
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 2
Related certifications (CCN) 2
Facilities with the same owner 24
Practitioners 72
-
William Henry Bell III, D.O.
-
Laura Ann Christopher, NURSE PRACTITIONER
-
Elizabeth Foster, NP
-
Marian Fuller, MD
-
Laris Edgar Galejs, M.D.
-
Cassandra A. Guenthardt, NP-C
-
Sherry L Joanette, NP-C
-
Frederick Jason Kaspriak, PA-C
-
Andrew Charles Luea, D.O.
-
Abdul M Malik, M.D.
-
Desiree Lynn Miller, RN FNP-BC
-
Tracy Robinson, NP
-
William Weiner, MD
-
Diane Begg Young, MD
-
Casey McConnell Gilmore, PA-C
-
Devin Nicole Rohde, PA-C
-
Mark Salvatore Dangelo, D.O.
-
Jessica Jean Duncan, PA-C
-
Hugh S McLeod IV, APA-C
Affiliated clinicians 172
-
Jefferson D Alferink, PA-C
-
Arshad Ali, MD
-
Peter F Alvarado, D.O.
-
Joel Elmer Anhalt, D.O.
-
Krista S Anhalt, DO
-
Paul Joseph Antal, M.D.
-
Mark R. Aulicino, M.D.
-
William A Austin, M.D.
-
Leeda Bashardost, MD, MHSS, FRCPC
-
John N. Beattie, M.D.
-
William Henry Bell III, D.O.
-
Lindsay M Best, D.O.
-
David P Betten, MD
-
Kristin E Betts, NP
-
Bradley Bliss, PAC
-
Denielle Bohland, NP
-
Andrew S Boyce, MD
-
Douglas M Brown, MD
Medicare Care Compare: Hospital
- Listed as
- Munson Healthcare Manistee Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Hospital certification: CCN 230303
- Legal name
- MUNSON HEALTHCARE MANISTEE HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 17, 2013
- Last certification
- Sep 20, 2013
- Beds
- 25
- Ownership / control type
- Other
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1465 E Parkdale Ave
Manistee, MI 49660-9709 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Andrew Page |
Other |
Jan 1, 2024 | |
| Ruth Hoppe |
Other |
Jan 1, 2022 | |
| Paul Konopacki |
Corporate Officer |
Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2024 | ||
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Vincent Schultz |
Other |
Jan 1, 2024 | |
| Thomas Veryser |
Other |
Jan 1, 2022 | |
| Kenneth D Bloem |
Other |
Jan 1, 2022 | |
| Timothy Nelson |
Operational/Managerial Control |
Jan 1, 2013 | |
| Other |
Jan 1, 2013 | ||
| David Menegebier |
Other |
Jan 1, 2024 | |
| Edward Lanphier |
Corporate Director |
Jan 1, 2026 | |
| Kathy Dixon |
Other |
Jan 1, 2022 | |
| Mary Sanders |
Other |
Jan 1, 2022 | |
| Elaine Wood |
Other |
Jan 1, 2022 | |
| Claudia Rowland |
Corporate Director |
Jan 1, 2026 | |
| Munson Healthcare |
Operational/Managerial Control | Apr 1, 2017 | 100% |
| Peter E Marinoff |
Corporate Officer |
Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2024 | ||
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Edwin a Ness |
Corporate Director |
Apr 1, 2017 | |
| Owen Roberts |
Other |
Jan 1, 2022 | |
| Bruce Zenner |
Other |
Jan 1, 2022 | |
| Sakura Takano |
Other |
Jan 1, 2022 | |
| Kristine Thomas |
Other |
Jan 1, 2022 | |
| Brian Postma |
Corporate Director |
Apr 1, 2017 | |
| Dino Recchia |
Other |
Jan 1, 2024 | |
| Jennifer King |
Other |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040119000647 | MI | Part B Supplier - Clinic/Group Practice | 3072414333 |
Receives reassigned benefits from 68 practitioners 4 other NPIs on this enrollment Practice locations: Manistee, MI; Frankfort, MI; Cadillac, MI |
| O20131029000470 | MI | Part a Provider - Hospital | 3072414333 | Practice locations: Manistee, MI; Wellston, MI; Kaleva, MI; Bear Lake, MI |
National Provider Directory
Locations
1293 E Parkdale Ave
Ste 2300
Manistee, MI 49660
Phone (231) 398-1740
1391 E Parkdale Ave
Ste 101
Manistee, MI 49660
Phone (231) 398-1840
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | |||
| Anesthesiology Physician |
207L00000X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | MI | ||
| General Acute Care Hospital | 282N00000X | 510020 | MI | Yes |
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
1465 E Parkdale Ave
Manistee, MI 49660-9785
Mailing address
1465 E Parkdale Ave
Manistee, MI 49660-9785
Phone (231) 398-1000
Other practice location 1
1345 E Parkdale Ave
Manistee, MI 49660-9318
Phone (231) 398-1750
Other practice location 2
1391 E Parkdale Ave
Manistee, MI 49660-9352
Phone (231) 398-1760
Other practice location 3
1293 E Parkdale Ave
Manistee, MI 49660-8904
Phone (231) 398-1710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5172278 | Medicaid | MI | |
| 4971251 | Medicaid | MI | |
| 1556474 | Medicaid | MI | |
| 00198 | Other | MI | BLUE CROSS |
Other providers in Manistee, MI
- Jaiden Moore
- Ann E Morehouse
- Jalyn Morgan
- Lisa Morris
- Munson Healthcare Manistee
- Munson Healthcare Manistee Hospital
- Munson Healthcare Manistee Hospital
- Munson Healthcare Manistee Hospital
- Munson Healthcare Manistee Hospital
- Munson Healthcare Manistee Hospital
All providers in Manistee, MI · General Acute Care Hospital in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.