NPIMap

Organization Active NPI

Munson Healthcare Charlevoix Hospital

Doing business as Munson Healthcare Charlevoix Women's Health

  • Rural Health Clinic/Center
  • Charlevoix, MI
National Provider Identifier
1730722810
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Doing business as
Munson Healthcare Charlevoix Women's Health
Practice address
14651 W Upright St
Charlevoix, MI 49720-1266
Phone
(231) 547-4477
Fax
(231) 547-4753
NPI assigned
Oct 22, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MUNSON HEALTHCARE CHARLEVOIX HOSPIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Mark Hepler
Title
VP and Cfo
Phone
(231) 935-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

14651 W Upright St
Charlevoix, MI 49720-1266

Mailing address

14651 W Upright St
Charlevoix, MI 49720-1266
Phone (231) 547-4477

Other names 1

  • Munson Healthcare Charlevoix Women's Health 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
23D1076179Munson Healthcare Charlevoix Women's Health14651 W Upright Street, Charlevoix, MI 49720Provider-performed microscopyNov 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Charlevoix Area Hosptia13 organizations share this tax ID, including this one
Part of
Charlevoix Area Hosptia

Other organizations with this tax ID 12

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

Locations

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1730722810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 W UPRIGHT ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201266",
            "telephone_number": "231-547-4477",
            "fax_number": "231-547-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 W UPRIGHT ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201266",
            "telephone_number": "231-547-4477",
            "fax_number": "231-547-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON HEALTHCARE CHARLEVOIX HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNSON HEALTHCARE CHARLEVOIX HOSPI",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "HEPLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP AND CFO",
        "authorized_official_telephone_number": "231-935-6512"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munson Healthcare Charlevoix Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlevoix, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.