Munising Memorial Hospital Association
NPI 1629120415ActiveOrganization· Family Medicine· Munising, MI
Family Medicine in Munising, Michigan, registered in NPPES in January 2007, part of Munising Memorial Hospital Association. The authorized official on file is Wendy Rautio, Cfo. Enrolled in Medicare as part a provider - rural health clinic and part b supplier - clinic/group practice.
Overview
| NPI | 1629120415 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Munising Memorial Hospital Association |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | Mar 22, 2024 |
| Certified by provider | Mar 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | 1060000115 | MI |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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