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 1285867838

Munson Healthcare Otsego Memorial Hospital provides General Practice Physician services in Lewiston, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
Specialties on file
3

Practice location Address checks out

3040 Bourn St
Lewiston, MI 49756
Phone: (989) 786-4877
Fax: (989) 786-2187
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 238620 (MI)

Record details

NPI number1285867838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Frye — Pres Ambulatory & Bus Development · (704) 458-8010
Other names Munson Healthcare Omh Medical Group-Lewiston Rhc; Omh Medical Group Lewiston Rhc; Omh Medical Group Lewiston Rhc
NPI enumeratedAugust 31, 2009
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address829 N Center Ave, Gaylord, MI 49735-1595

Other providers in Lewiston