Healthcare Provider Details

I. General information

NPI: 1497630156
Provider Name (Legal Business Name): MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 W MAIN ST STE 100
FLUSHING MI
48433-2032
US

IV. Provider business mailing address

113 E WILLIAMS ST
OWOSSO MI
48867-2360
US

V. Phone/Fax

Practice location:
  • Phone: 989-723-5211
  • Fax: 989-723-9446
Mailing address:
  • Phone: 989-725-6528
  • Fax: 989-723-9446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: JORRI M TREMAIN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 989-729-4466