Community Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

COMMUNITY MEMORIAL HOSPITAL

Practice address

722 S Main St
Cheboygan, MI 49721-2220

Phone

(231) 627-1493

Fax

(231) 627-1492

NPI assigned

Jul 21, 2006

Last updated

Dec 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Holly Campa

Title

Vice President Finance

Phone

(231) 627-1203

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• WCHS Other name

Locations

Practitioners 2

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.

• Marvin K Coy, D.O.

  • Obstetrics & Gynecology Physician
  • Cheboygan, MI
  • NPI 1508882275
  NPD (past)
• Francis P Darr, M.D.

  • Pediatrics Physician
  • Marquette, MI
  • NPI 1548293756
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1992726632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497210419",
            "telephone_number": "231-627-1438",
            "fax_number": "231-627-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-627-1493",
            "fax_number": "231-627-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "CAMPA",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "231-627-1203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE CROSS",
            "identifier": "700A610040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Community Memorial Hospital
• Community Memorial Hospital
• Community Memorial Hospital
• Community Memorial Hospital
• Community Memorial Hospital
• Constructive Empathy, PLLC
• Tamyra Noelle Cooper, MSW
• Jennifer L Couillard, RPH
• Marvin K Coy, D.O.
• Abbey Renee Cramer, DPT

• 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 8, 2008; 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.