NPIMap

Organization Active NPI

Munson Healthcare Charlevoix Hospital

  • Emergency Medicine Physician
  • Charlevoix, MI
National Provider Identifier
1952596637
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Practice address
14734 Park Ave
Charlevoix, MI 49720-1931
Phone
(231) 547-4024
Fax
(231) 547-8088
NPI assigned
Sep 6, 2007
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Christine Wilhelm
Title
Chief Operations Officer
Phone
(231) 547-4024

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MI
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

14734 Park Ave
Charlevoix, MI 49720-1931

Mailing address

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

Other identifiers 1

IdentifierTypeStateIssuer
0A51024OtherMIBLUE CARE NETWORK

Other names 1

  • Charlevoix Area Hospital Urgent Care Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1952596637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 LAKE SHORE DR",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201931",
            "telephone_number": "231-547-4024",
            "fax_number": "231-547-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14734 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201931",
            "telephone_number": "231-547-4024",
            "fax_number": "231-547-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON HEALTHCARE CHARLEVOIX HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNSON HEALTHCARE CHARLEVOIX HOSPITAL",
        "enumeration_date": "2007-09-06",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "231-547-4024"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0A51024",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlevoix Area Hospital Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 17, 2016; 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.