MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1174313852
Clinic/Center - Rural Health in Petoskey, MI

Q: 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.

Active since May 07, 2025

1619 ANDERSON RD, PETOSKEY, MI 49770(231) 417-6000(231) 417-6005 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2026, May 7, 2025 (2 updates tracked since 2025).

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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 1174313852), doing business as Munson Healthcare Petoskey Community Health Center, is a healthcare organization registered as a rural health in Petoskey, Michigan and active in the NPI registry since May 2025. The organization lists Michael Frye, Pres Ambulatory & Bus Development, as its authorized official.

NPPES Registry Identity

NPI1174313852

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Location Address1619 ANDERSON RDPetoskey, MI 49770-9256

Mailing Address1105 Sixth StTraverse City, MI 49684-2345

Phone(231) 417-6000

Fax(231) 417-6005

Organization SubpartNo

Authorized OfficialMichael FryePres Ambulatory & Bus Development · (704) 458-8010

Enumeration DateMay 7, 2025

Last NPPES UpdateApril 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1174313852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

1619 ANDERSON RD, Petoskey, MI 49770

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Other Names 1

Doing Business AsMunson Healthcare Petoskey Community Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 9

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

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Internal Medicine (Nephrology)