Provider Demographics
NPI:1699376806
Name:HURON MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:HURON MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-672-5075
Mailing Address - Street 1:1 MCLAREN PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-7471
Mailing Address - Country:US
Mailing Address - Phone:810-342-1177
Mailing Address - Fax:
Practice Address - Street 1:1100 S VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-9615
Practice Address - Country:US
Practice Address - Phone:989-269-9521
Practice Address - Fax:989-269-5260
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HURON MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit