NPIMap

Organization Active NPI

Munson Healthcare Cadillac

Doing business as Cadillac Occupational Health & Medicine

  • Occupational Medicine Clinic/Center
  • Cadillac, MI
National Provider Identifier
1598477408
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
MUNSON HEALTHCARE CADILLAC
Doing business as
Cadillac Occupational Health & Medicine
Practice address
803 Lynn St
Cadillac, MI 49601-2336
Phone
(231) 876-6180
Fax
(231) 876-6080
NPI assigned
Dec 22, 2022
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Ellen Smith, CFO
Title
Cfo
Phone
(231) 935-9283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

803 Lynn St
Cadillac, MI 49601-2336

Mailing address

803 Lynn St
Cadillac, MI 49601-2336
Phone (231) 876-6180

Other names 1

  • Cadillac Occupational Health & Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2298718Cadillac Occupational Health & Medicine803 Lynn Street, Cadillac, MI 49601Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Munson Healthcare Cadillac9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

803 Lynn St
Cadillac, MI 49601
Phone (231) 876-7770

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1598477408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 LYNN ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012336",
            "telephone_number": "231-876-6180",
            "fax_number": "231-876-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 LYNN ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012336",
            "telephone_number": "231-876-6180",
            "fax_number": "231-876-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON HEALTHCARE CADILLAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "231-935-9283",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cadillac Occupational Health & Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.