Provider Demographics
NPI:1205673241
Name:MUNISING MEMORIAL HOSPITAL ASSOCIATION
Entity type:Organization
Organization Name:MUNISING MEMORIAL HOSPITAL ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PATIENT BILLING REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GESHRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-387-0639
Mailing Address - Street 1:1500 SANDPOINT RD
Mailing Address - Street 2:
Mailing Address - City:MUNISING
Mailing Address - State:MI
Mailing Address - Zip Code:49862-1406
Mailing Address - Country:US
Mailing Address - Phone:906-387-4110
Mailing Address - Fax:
Practice Address - Street 1:N7569 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:AUTRAIN
Practice Address - State:MI
Practice Address - Zip Code:49806
Practice Address - Country:US
Practice Address - Phone:906-387-4338
Practice Address - Fax:906-387-2825
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUNISING MEMORIAL HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-09
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty