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Contact Information

MUNSON MEDICAL CENTER
FOSTER FAMILY COMMUNITY HEALTH CENTER
550 MUNSON AVE UNIT 4
TRAVERSE CITY, MI49686
 Phone: 231-935-8736
 Fax: 231-213-8716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MUNSON MEDICAL CENTER

NPI Number 1194425447
LBN Legal business name MUNSON MEDICAL CENTER
Authorized official KATHLEEN LARAIA - (VP, ANCILLARY SERVICES)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/06/2023
Last updated 12/29/2023 - About 2 years ago
Identifiers
MI Medicaid 5171477
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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