NPIMap

Organization Active NPI

Munising Memorial Hospital Association

Doing business as Munising Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Munising, MI
National Provider Identifier
1750894648
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MUNISING MEMORIAL HOSPITAL ASSOCIATION
Doing business as
Munising Memorial Hospital
Practice address
1500 Sandpoint Rd
Munising, MI 49862-1406
Phone
(906) 387-4110
NPI assigned
Nov 14, 2017
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Wendy Rautio
Title
Cfo
Phone
(906) 387-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

1500 Sandpoint Rd
Munising, MI 49862-1406

Mailing address

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

Other names 1

  • Munising Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130530000006 MI Part A Provider - Critical Access Hospital 9830170372 1 other NPI on this enrollment
Practice locations: Munising, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750894648. Details of each certification follow.

Hospital certification: CCN 23Z308

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

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Baycare Medical6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Christi Salo Individual Corporate OfficerChief Nursing Officer Oct 12, 1999
W-2 Managing EmployeeChief Nursing Officer Oct 12, 1999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1750894648",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SANDPOINT RD",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621406",
            "telephone_number": "906-387-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNISING MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "RAUTIO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "906-387-4110"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munising Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munising, MI

Sources for this page

Verify at the official NPI Registry.