National Provider Identifier Database

MCKENZIE MEMORIAL HOSPITAL
Critical Access


Contact Information

MCKENZIE MEMORIAL HOSPITAL
120 N DELAWARE ST
SANDUSKY, MI48471-1009
Phone: 810-648-6162
Fax: 810-648-5058
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Emergency Medicine 207P00000X
Medicare Defined Swing Bed Unit 275N00000X

* Indicates primary specialty

NPI Profile & details for MCKENZIE MEMORIAL HOSPITAL

NPI Number 1497750608
Legal business name
LBN
MCKENZIE MEMORIAL HOSPITAL
Authorized official AMY RUEDISUELI - (V.P. FINANCE)
Entity Organization
Organization subpart No
Enumeration date 06/15/2005
Last updated 10/21/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 1060000096
  • MI License #: 760030
  • MI License #: MI06100
  • MI Medicaid: 301555717
  • MI Medicaid: 405171190

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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