DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1235160532

NPI Code Detail

MEDICARE: MEMORIAL HOSPITAL

MEDICARE: MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician
2	207P00000X	Emergency Medicine Physician
3	207Q00000X	Family Medicine Physician
4	207R00000X	Internal Medicine Physician
5	207RC0000X	Cardiovascular Disease Physician
6	207RG0100X	Gastroenterology Physician
7	207RP1001X	Pulmonary Disease Physician
8	207X00000X	Orthopaedic Surgery Physician
9	2084P0800X	Psychiatry Physician
10	208600000X	Surgery Physician
11	363A00000X	Physician Assistant
12	363L00000X	Nurse Practitioner
13	363LF0000X	Family Nurse Practitioner
14	367500000X	Certified Registered Nurse Anesthetist
15	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235160532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	113 E WILLIAMS ST
Second Line	:
City	:	OWOSSO
State	:	MI
Zip	:	48867-2360
Country	:	US
Telephone Number	:	989-725-6528
Fax Number	:	989-723-9446

Provider Business Practice Location Address
First Line	:	826 W KING ST
Second Line	:
City	:	OWOSSO
State	:	MI
Zip	:	48867-2120
Country	:	US
Telephone Number	:	989-723-5211
Fax Number	:	989-723-5274

Authorized Official
Title or Position	:	CFO
Name	:	JORRI M TREMAIN
Credential	:
Telephone Number	:	989-729-4466

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	09/21/2022

Similar Medicare Providers

1144982109 — JILL L COOK PA-C, ARDMS
Practice Location Address:

826 W KING ST
OWOSSO, MI
48867-2120

Practice Phone: 248-521-9310
Practice Fax:

1487653119 — DR. MARLA MIDDLETON EKOLA PHARMD
Practice Location Address:

826 W KING ST
OWOSSO, MI
48867-2120

Practice Phone: 989-729-4588
Practice Fax:

1063405801 — KNIGHT DRUGS OWOSSO, INC.
Practice Location Address:

826 W KING ST
OWOSSO, MI
48867-2120

Practice Phone: 989-723-7386
Practice Fax: 989-723-7396

1891780417 — PHYSICIAN ANESTHESIA SERVICE PC
Practice Location Address:

826 W KING ST
OWOSSO, MI
48867-2120

Practice Phone: 989-723-5211
Practice Fax:

1811941446 — THOMAS M TEAL MD
Practice Location Address:

826 W KING ST
OWOSSO, MI
48867-2120

Practice Phone: 989-723-5211
Practice Fax:

1700819810 — KEVIN P BUR D.O.
Practice Location Address:

826 W KING ST
OWOSSO, MI
48867-2120

Practice Phone: 810-635-7453
Practice Fax: 810-630-2151

Directions to “MEMORIAL HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.