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General NPI Number Information
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NPI Number | 1396832507
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1975 W M 21 STE 102
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City | OWOSSO
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State | MI
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Zip | 48867-8164
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Country | US
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Telephone | 989-725-2299
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Fax | 989-723-5614
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Provider Business Mailing Address
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Address Line | 826 W KING ST
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City | OWOSSO
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State | MI
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Zip | 48867-2120
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Country | US
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Telephone | 989-723-5211
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Fax | 989-723-5274
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Authorized Official
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Title or Position | CFO
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Name | JORRI TREMAIN
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Credential |
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Telephone | 989-729-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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