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General NPI Number Information
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NPI Number | 1033031653
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Entity Type | Organization
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Legal Business Name | MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 7985 S MACKINAW TRL
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City | CADILLAC
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State | MI
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Zip | 49601-8111
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Country | US
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Telephone | 231-876-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 SIXTH ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2345
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO EAST REGION
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Name | KIRSTEN BETHANY KORTH-WHITE
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Credential |
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Telephone | 989-348-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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