MUNSON HEALTHCARE OMH MEDICAL GROUP-INDIAN RIVER – NPI #1053661231
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

MUNSON HEALTHCARE OMH MEDICAL GROUP-INDIAN RIVER is a provider located in INDIAN RIVER, MI. NPPES has assigned the NPI number 1053661231 to MUNSON HEALTHCARE OMH MEDICAL GROUP-INDIAN RIVER on September 14, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MUNSON HEALTHCARE OMH MEDICAL GROUP-INDIAN RIVER” is a dba name, the actual legal business name for this organization is MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Oct 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MUNSON HEALTHCARE OMH MEDICAL GROUP-INDIAN RIVER below.

NPI Profile for
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

NPI Number
1053661231
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Doing Business As (dba): MUNSON HEALTHCARE OMH MEDICAL GROUP-INDIAN RIVER
Other name(s)
All associated names:
Doing Business As (dba)
MUNSON HEALTHCARE OMH MEDICAL GROUP-INDIAN RIVER
Doing Business As (dba)
OMH Medical Group - Indian River
Primary location
3860 S STRAITS HWY
INDIAN RIVER, MI 49749
Phone: (231) 238-0581 Fax: (231) 238-0856
Mailing address
271 MCCOY RD W
GAYLORD, MI 49735-8253
Phone: (989) 731-7777 Fax: (989) 731-7776
Organization Subpart
No
Authorized Official
ELLEN SMITH
CEO
Phone: (989) 731-2230
Updated
Certification Date
Oct 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.