Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Memorial Hospital

Organization Nurse Practitioner · NPI 1306935663

Community Memorial Hospital is a Nurse Practitioner in Cheboygan, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

748 S Main St
Cheboygan, MI 49721-2220
Phone: (231) 627-1438
Fax: (231) 627-1471
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1306935663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ted Anderson — Vice President Of Finance · (231) 627-1203
NPI enumeratedOctober 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 419, Cheboygan, MI 49721-0419