Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Munson Healthcare Otsego Memorial Hospital

Organization General Practice Physician · NPI 1164628426

Munson Healthcare Otsego Memorial Hospital provides General Practice Physician services in Gaylord, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
3

Practice location Address checks out

829 N Center Ave
Gaylord, MI 49735
Phone: (989) 731-7708
Fax: (989) 731-7929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
General Practice Physician Taxonomy 208D00000X
Rural Acute Care Hospital Taxonomy 282NR1301X · Licence 238607 (MI)

Record details

NPI number1164628426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Frye — Pres. Ambulatory & Bus. Development · (704) 458-8010
Other names Munson Healthcare Omh Medical Group-Gaylord Rhc; Otsego Memorial Hospital Rural Health Clinic; Otsego Memorial Hospital Rural Health Clinic
NPI enumeratedJune 25, 2007
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address825 N Center Ave, Gaylord, MI 49735-1592

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