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Export Provider Record NPI 1053661231
Munson Healthcare Otsego Memorial Hospital
Organization Subpart: NO
Active
NPI Number1053661231
NPI TypeNPI-2 Organization
SpecialtyGeneral Practice
Provider Details
NPI1053661231
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-09-14
Last Updated2022-10-18
Authorized OfficialEllen Smith
CEO
Phone: 9897312230
Mailing Address271 Mccoy Rd W
Gaylord, MI 49735-8253
United States
Phone: (989) 731-7777 | Fax: (989) 731-7776
📍 View Map
Primary Practice Address3860 S Straits Hwy
Indian River, MI 49749
United States
Phone: (231) 238-0581 | Fax: (231) 238-0856
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208D00000X – General PracticeMI
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About NPI 1053661231

Munson Healthcare Otsego Memorial Hospital is an organization registered in the CMS NPPES NPI Registry with NPI number 1053661231. The primary specialty listed is General Practice. The organization is located in Indian River, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-09-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053661231?

NPI 1053661231 belongs to Munson Healthcare Otsego Memorial Hospital, a General Practice in Indian River, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053661231 active?

The current status of NPI 1053661231 in the NPPES registry is Active. The record was last updated on 2022-10-18.

What specialty is NPI 1053661231?

NPI 1053661231 is classified under the taxonomy General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053661231?

You can verify NPI 1053661231 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053661231?

The primary practice address on file for NPI 1053661231 is 3860 S Straits Hwy, Indian River, MI 49749. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053661231 issued?

NPI 1053661231 was first issued (enumerated) on 2012-09-14. The NPPES record was last updated on 2022-10-18.

Practice Location Map

Munson Healthcare Otsego Memorial Hospital is located at 3860 S Straits Hwy, Indian River, MI. Use the map below to find directions or verify the practice location.

📍 3860 S Straits Hwy, Indian River, MI 49749  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Munson Healthcare Otsego Memorial Hospital. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162