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Munising Memorial Hospital Association

Organization Active NPI Critical Access Hospital · Munising, MI

NPI 1417035536 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1417035536
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
020010 (MI)
Legal business name
MUNISING MEMORIAL HOSPITAL ASSOCIATION
Practice address
1500 Sand Point Rd
Munising, MI 49862-1406
Phone
(906) 387-4110
Fax
(906) 387-4649
NPI assigned
Nov 2, 2006
Organization subpart
No

Authorized official

Name
Ann Parkkila
Title
Controller
Phone
(906) 387-0613

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 25

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Hospital

Listed as
Munising Memorial Hospital CCN 231308
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MI

Hospital certification: CCN 231308

Legal name
MUNISING MEMORIAL HOSPITAL ASSOCIATION
Doing business as
MUNISING MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2000
Last certification
Jun 4, 2024
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Feb 9, 1961 in MI
Enrollment address
1500 Sandpoint Rd
Munising, MI 49862-1406
Main/Primary Hospital Location

Hospital certification: CCN 23Z308

Legal name
MUNISING MEMORIAL HOSPITAL ASSOCIATION
Doing business as
MUNISING MEMORIAL HOSPITAL
Organization structure
Corporation · Non-profit
Incorporated
May 16, 1960 in MI
Enrollment address
1500 Sandpoint Rd
Munising, MI 49862-1406
Other Hospital Practice Location

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sara Wilson
Individual 		W-2 Managing Employee
Business Office Manager		 Apr 1, 2010
Christi Salo
Individual 		Corporate Officer
Chief Nursing Officer		 Oct 12, 1999
W-2 Managing Employee
Chief Nursing Officer		 Oct 12, 1999

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100222000263 MI Part a Provider - Critical Access Hospital 9830170372 Receives reassigned benefits from 4 practitioners
Practice locations: Munising, MI
O20130530000006 MI Part a Provider - Critical Access Hospital 9830170372 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Munising, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 020010 MI Yes

Addresses

Primary practice location

1500 Sand Point Rd
Munising, MI 49862-1406

Mailing address

1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4110

Other identifiers

IdentifierTypeStateIssuer
301555520MedicaidMI
405171468MedicaidMI
00103OtherMIBLUE CROSS BLUE SHIELD MI

Other names

  • Munising Memorial Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1417035536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SANDPOINT RD",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621406",
            "telephone_number": "906-387-4110",
            "fax_number": "906-387-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAND POINT RD",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621406",
            "telephone_number": "906-387-4110",
            "fax_number": "906-387-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNISING MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "PARKKILA",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "906-387-0613"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "020010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301555520",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405171468",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "00103",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munising Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munising, MI

All providers in Munising, MI · Critical Access Hospital in Michigan

Sources for this page

Verify at the official NPI Registry.