| Memorial Healthcare | |
|
826 W King St Owosso MI 48867 | |
| (989) 723-5211 | |
| (989) 723-5274 |
| Full Name | Memorial Healthcare |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 826 W King St, Owosso, Michigan |
| Authorized Official Name and Position | Jorri Tremain (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 9897294466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Healthcare 826 W King St Owosso MI 48867-2120 Ph: (989) 723-5211 | Memorial Healthcare 826 W King St Owosso MI 48867 Ph: (989) 723-5211 |
| NPI Number | 1588751796 |
|---|---|
| Provider Enumeration Date | 10/07/2006 |
| Last Update Date | 09/06/2018 |
| Medicare PECOS PAC ID | 8527976497 |
|---|---|
| Medicare Enrollment ID | O20110323001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588751796 | NPI | - | NPPES |
| 1557749 | Medicaid | MI | |
| 00058 | Other | MI | PSYCH UNIT |
| 2778136 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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