Munson Healthcare Specialty Pharmacy

LBN: Munson Medical Center
Munson Healthcare Specialty Pharmacy is an health care organization with primary practice located at Foster Family Community Health Center 550 Munson Ave Unit 4, Traverse City MI 49686. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Munson Medical Center can be contacted via phone (231) 935-8736, or through Laraia, Kathleen via phone (231) 392-8410.

Contact Information

Primary practice address
Foster Family Community Health Center 550 Munson Ave Unit 4 Traverse City MI 49686
Fax: (231) 213-8716
Website:
Authorized official contact:
Name: Laraia, Kathleen

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1194425447
LBN Legal business name Munson Medical Center
DBA Doing business as Munson Healthcare Specialty Pharmacy
Authorized official Laraia, Kathleen
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 6th, 2023
Last updated Dec 29th, 2023 - about last year

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 1194425447 NPPES
Michigan MEDICAID 5171477

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