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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1033031653
Clinic/Center - Rural Health in Cadillac, MI

Active since July 27, 2026
7985 S MACKINAW TRL, CADILLAC, MI 49601(231) 876-6200 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Munson Healthcare Otsego Memorial Hospital NPPES

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

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (NPI 1033031653) is a healthcare organization registered as a rural health in Cadillac, Michigan and active in the NPI registry since July 2026. The organization lists Kirsten Bethany Korth-white, President/ceo East Region, as its authorized official.

NPPES Registry Identity

NPI1033031653
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Location Address7985 S MACKINAW TRLCadillac, MI 49601-8111
Mailing Address1105 Sixth StTraverse City, MI 49684-2345
Phone(231) 876-6200
Organization SubpartNo
Authorized OfficialKirsten Bethany Korth-whitePresident/ceo East Region · (989) 348-0720
Enumeration DateJuly 27, 2026
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1033031653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
7985 S MACKINAW TRL, Cadillac, MI 49601
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Other Names 1

Other NameCadillac Primary Care & Obgyn A Service Of Otsego Memorial Hospital

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY W WILDER MD
Obstetrics & Gynecology
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-7200
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Obstetrics & Gynecology
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6200
VIRGINIA L ROYS CPRC
Peer Specialist
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6279
ERIN BOOMS
Nurse Practitioner (Family)
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6200
AMANDA LINNEE
Advanced Practice Midwife
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6100
DR. JAMES MATTHEW DIENER D.O.
Internal Medicine
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 779-0320
MARIANNE TISON DICKERSON CNM
Advanced Practice Midwife
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-6100
ELISE MARIA LUCAS
Registered Nurse
7985 S MACKINAW TRL
CADILLAC, MI 49601
Wexford County (231) 876-7014

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 Otsego Memorial Hospital's NPI number?

The NPI number for Munson Healthcare Otsego Memorial Hospital is 1033031653. It was assigned to this organization in the NPPES registry on July 27, 2026. The provider is also known as Cadillac Primary Care & OBGYN a service of Otsego Memorial Hospital.

Where is Munson Healthcare Otsego Memorial Hospital located?

Munson Healthcare Otsego Memorial Hospital is located at 7985 S Mackinaw Trl, Cadillac, MI 49601. The listed phone number is (231) 876-6200.

What is Munson Healthcare Otsego Memorial Hospital's specialty?

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

When was this NPI record last updated?

The NPPES record for Munson Healthcare Otsego Memorial Hospital was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.