Northern Michigan Regional Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

NORTHERN MICHIGAN REGIONAL HOSPITAL

Practice address

740 S Main St
Suite 2 - MCPC (RHC)
Cheboygan, MI 49721-2220

Phone

(231) 627-1282

Fax

(231) 627-1850

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Dave Zechman

Title

President, Ceo

Phone

(231) 487-4011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1629339346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "address_2": "ADMINISTRATION - CEO / (RURAL HEALTH CLINIC)",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "231-487-7684",
            "fax_number": "231-487-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S MAIN ST",
            "address_2": "SUITE 2 - MCPC (RHC)",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-627-1282",
            "fax_number": "231-627-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "ZECHMAN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "231-487-4011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Jo Nave, PA-C
• Ann-Marie Chestress Nelson
• Northern Michigan Dermatology PC
• Northern Michigan Family Dentistry PLLC
• Northern Michigan Regional Hospital
• Northern Radiology, PC
• Northshore Medical Clinic P C
• Bethanie Norton-Boss
• Kathleen Nummerdor, LPTA
• Daniel Martin Orr, PT

• Rural Health Clinic/Center in Cheboygan, MI
• Providers in Cheboygan, MI by specialty
• Rural Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.