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MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
NPI 1013550151
Clinic/Center - Rural Health in East Jordan, MI

Active since October 22, 2019CLIA 23D0682121 · Microscopy
100 MAIN STREET, EAST JORDAN, MI 49727(231) 547-6554(231) 547-1179 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Munson Healthcare Charlevoix Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUNSON HEALTHCARE CHARLEVOIX HOSPITAL (NPI 1013550151), doing business as Munson Healthcare Jordan Valley Medicine, is a healthcare organization registered as a rural health in East Jordan, Michigan and active in the NPI registry since October 2019. The organization holds a CLIA Microscopy certificate valid through November 28, 2026 and lists Mark Hepler, Vp And Cfo, as its authorized official.

NPPES Registry Identity

NPI1013550151
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Location Address100 MAIN STREETEast Jordan, MI 49727
Mailing Address100 Main StreetEast Jordan, MI 49727 · (231) 547-6554 · Fax (231) 547-1179
Phone(231) 547-6554
Fax(231) 547-1179
Organization SubpartYesParent: Munson Healthcare Charlevoix Hospi
Authorized OfficialMark HeplerVp And Cfo · (231) 935-6512
Enumeration DateOctober 22, 2019
✔ NPI 1013550151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
100 MAIN STREET, East Jordan, MI 49727
Open in Google Maps ↗

Other Names 1

Doing Business AsMunson Healthcare Jordan Valley Medicine

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0682121

Munson Healthcare Charlevoix Primary Care · Charlevoix, MI
Active · expires Nov 28, 2026
CLIA Number23D0682121
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorBenjamin Edwards
Laboratory Phone(231) 547-6554
Laboratory LocationMunson Healthcare Charlevoix Primary Care14734 Park Avenue, Charlevoix, MI 49720
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Munson Healthcare Charlevoix Hospital's NPI number?

The NPI number for Munson Healthcare Charlevoix Hospital is 1013550151. It was assigned to this organization in the NPPES registry on October 22, 2019. The provider is doing business as Munson Healthcare Jordan Valley Medicine.

Where is Munson Healthcare Charlevoix Hospital located?

Munson Healthcare Charlevoix Hospital is located at 100 Main Street, East Jordan, MI 49727. The listed phone number is (231) 547-6554.

What is Munson Healthcare Charlevoix Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Munson Healthcare Charlevoix Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0682121) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Munson Healthcare Charlevoix Hospital was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.