Active NPI
Memorial Hospital
Doing business as Memorial Healthcare
- Rural Health Clinic/Center
- Perry, MI
National Provider Identifier
1598977787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MEMORIAL HOSPITAL
- Doing business as
- Memorial Healthcare
- Practice address
- 3337 W Britton Rd
Perry, MI 48872 - Phone
- (517) 625-3004
- NPI assigned
- May 3, 2007
- Organization subpart
- Yes
- Parent organization
- MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joyce Bremer
- Title
- Manager Coding & Patient Accounts
- Phone
- (989) 723-5211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
3337 W Britton Rd
Perry, MI 48872
Mailing address
826 W King St
Owosso, MI 48867
Phone (989) 723-5211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE7951 | Other | MEDICARE RR GROUP | |
| 113320228 | Medicaid | MI |
Other names 1
- Memorial Healthcare
National Provider Directory
National Provider Directory- Part of
- The Memorial Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291161600000",
"number": "1598977787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 W KING ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "48867",
"telephone_number": "989-723-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3337 W BRITTON RD",
"city": "PERRY",
"state": "MI",
"postal_code": "48872",
"telephone_number": "517-625-3004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEMORIAL HOSPITAL",
"enumeration_date": "2007-05-03",
"last_updated": "2010-12-01",
"status": "A",
"authorized_official_last_name": "BREMER",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "MANAGER CODING & PATIENT ACCOUNTS",
"authorized_official_telephone_number": "989-723-5211"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR GROUP",
"identifier": "CE7951",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113320228",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Memorial Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Perry, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.