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MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1285867838
Clinic/Center - Rural Health in Lewiston, MI

Active since August 31, 2009
3040 BOURN ST, LEWISTON, MI 49756(989) 786-4877(989) 786-2187 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2026, Oct 4, 2024, Sep 16, 2024 and 3 more (6 updates tracked since 2018).

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 1285867838), doing business as Munson Healthcare Omh Medical Group-lewiston Rhc, is a healthcare organization registered as a rural health in Lewiston, Michigan and active in the NPI registry since August 2009. The organization lists Michael Frye, Pres Ambulatory & Bus Development, as its authorized official.

NPPES Registry Identity

NPI1285867838
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Location Address3040 BOURN STLewiston, MI 49756
Mailing Address829 N Center AveGaylord, MI 49735-1595 · (989) 731-2100 · Fax (989) 731-7929
Phone(989) 786-4877
Fax(989) 786-2187
Organization SubpartNo
Authorized OfficialMichael FryePres Ambulatory & Bus Development · (704) 458-8010
Enumeration DateAugust 31, 2009
Last NPPES UpdateApril 17, 20266 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1285867838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X · License 238620 (MI)
3040 BOURN ST, Lewiston, MI 49756
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Other Names 2

Doing Business AsMunson Healthcare Omh Medical Group-lewiston Rhc
Doing Business AsOmh Medical Group Lewiston Rhc

Other Identifiers 1

Other238620Cms Certification Number

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 11

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

JENNIFER ERIN MCBRIDE AGNP-C
Nurse Practitioner
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 354-2197
LISA ANN STIER NP-C
Nurse Practitioner (Family)
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
ASHLEY BOROWIAK FNP-C
Nurse Practitioner (Family)
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
HANNAH B RUSSELL PA-C
Physician Assistant
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
JESSICA NEUROTH
Family Medicine
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
General Practice
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
STEPHANIE RUTTERBUSH MD
Family Medicine
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877

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 1285867838. It was assigned to this organization in the NPPES registry on August 31, 2009. The provider is doing business as Munson Healthcare OMH Medical Group-Lewiston RHC and OMH Medical Group Lewiston RHC.

Where is Munson Healthcare Otsego Memorial Hospital located?

Munson Healthcare Otsego Memorial Hospital is located at 3040 Bourn St, Lewiston, MI 49756. The listed phone number is (989) 786-4877.

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.

What insurance does Munson Healthcare Otsego Memorial Hospital accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Munson Healthcare Otsego Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Munson Healthcare Otsego Memorial Hospital was last updated on April 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.