Otsego Memorial Hospital

LBN: Munson Healthcare Otsego Memorial Hospital
Otsego Memorial Hospital is an health care organization with primary practice located at 825 N Center Ave , Gaylord MI 49735. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Munson Healthcare Otsego Memorial Hospital can be contacted via phone (989) 731-2163, or through Laraia, Kathleen via phone (231) 392-8410.

Contact Information

Primary practice address
825 N Center Ave Gaylord MI 49735
Phone: (989) 731-2163
Fax: (989) 731-2162
Website:
Map and Directions
Authorized official contact:
Name: Laraia, Kathleen
Phone: (231) 392-8410

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301002513 Michigan
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1477615086
LBN Legal business name Munson Healthcare Otsego Memorial Hospital
DBA Doing business as Otsego Memorial Hospital
Authorized official Laraia, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 17th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477615086 NPPES
Other 2041951 PK
MEDICAID 5171589 PK

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