Healthcare Provider Details

I. General information

NPI: 1649133943
Provider Name (Legal Business Name): PAUL OLIVER MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 PARK AVE
FRANKFORT MI
49635-9658
US

IV. Provider business mailing address

224 PARK AVE
FRANKFORT MI
49635-9658
US

V. Phone/Fax

Practice location:
  • Phone: 231-352-2200
  • Fax:
Mailing address:
  • Phone: 231-352-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: PETER EDWARD MARINOFF
Title or Position: PRESIDENT CEO OF SOUTH REGION
Credential:
Phone: 231-352-2285