Community Memorial Hospital

Organization Active NPI Rural Health Clinic/Center · Cheboygan, MI

NPI 1912928656 · NPPES record last updated Dec 8, 2008

Key facts

NPI
1912928656
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
COMMUNITY MEMORIAL HOSPITAL
Practice address
740 S Main St
Cheboygan, MI 49721-2220
Phone
(231) 627-7118
Fax
(231) 627-1838
NPI assigned
Jul 21, 2006
Organization subpart
No

Authorized official

Name
Mrs. Holly Campa
Title
Board & Medical Staff Coordinator
Phone
(231) 627-1203

Corporate family (same tax ID) 3

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Community Memorial Hospital (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Rural Health Clinic/Center 261QR1300X MI Yes

Addresses

Primary practice location

740 S Main St
Cheboygan, MI 49721-2220

Mailing address

PO Box 419
Cheboygan, MI 49721-0419
Phone (231) 627-1438

Other identifiers

IdentifierTypeStateIssuer
700A610010OtherMIGROUP BLUE CROSS

Other names

  • CMC Other name

Other providers in Cheboygan, MI

All providers in Cheboygan, MI · Rural Health Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.