BAY CARE MEDICAL CENTER SPECIALTY CLINIC
NPI 1427611391
Specialist in Munising, MI

Q: What is Munising Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 17, 2019CLIA 23D2034542 · Waiver

1500 SANDPOINT RD, MUNISING, MI 49862(906) 387-4338 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bay Care Medical Center Specialty Clinic NPPES

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

BAY CARE MEDICAL CENTER SPECIALTY CLINIC (NPI 1427611391) is a healthcare organization registered as a specialist in Munising, Michigan and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists James Parker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427611391

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMUNISING MEMORIAL HOSPITAL ASSOCIATION

Location Address1500 SANDPOINT RDMunising, MI 49862-1406

Mailing Address1500 Sandpoint RdMunising, MI 49862-1406

Phone(906) 387-4338

Organization SubpartYes

Authorized OfficialJames ParkerCeo · (906) 387-4110

Enumeration DateApril 17, 2019

Last NPPES UpdateMarch 22, 2024

NPPES CertifiedAugust 18, 2022

✔ NPI 1427611391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1500 SANDPOINT RD, Munising, MI 49862

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Other Names 1

Doing Business AsBay Care Medical Center Specialty Clinic

Other Identifiers 1

Other0Z21000MI · Blue Cross Pin

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

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 of Waiver 23D2034542

Bay Care Medical Center · Munising, MI

Active · expires Dec 27, 2027

CLIA Number23D2034542

Laboratory TypeRural Health Clinic

Certificate Effective DateDecember 28, 2025

Certificate Expiration DateDecember 27, 2027

Laboratory DirectorCraig S. Cousineau

Laboratory Phone(906) 387-4110

Laboratory LocationBay Care Medical Center1500 Sand Point Road, Munising, MI 49862

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. CHELSEA ELISE RAY MD

Family Medicine