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

Munson Healthcare Otsego Memorial Hospital

Organization General Practice Physician · NPI 1285867838

Munson Healthcare Otsego Memorial Hospital is a General Practice Physician 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

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