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MEMORIAL HEALTHCARE
NPI 1538795356
General Practice in Owosso, MI

Active since March 13, 2020CLIA 23D0983410 · Waiver
200 HEALTH PARK DR STE 205, OWOSSO, MI 48867(989) 723-8666(989) 725-1434 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Sep 21, 2022, Mar 13, 2020 (3 updates tracked since 2020).

About Memorial Healthcare NPPES

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

MEMORIAL HEALTHCARE (NPI 1538795356) is a healthcare organization registered as a general practice in Owosso, Michigan and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Jorri M Tremain, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538795356
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEMORIAL HOSPITAL
Location Address200 HEALTH PARK DR STE 205Owosso, MI 48867-1291
Mailing Address113 E Williams StOwosso, MI 48867-2360 · (989) 725-6528 · Fax (989) 723-9446
Phone(989) 723-8666
Fax(989) 725-1434
Organization SubpartYes
Authorized OfficialJorri M TremainCfo · (989) 729-4466
Enumeration DateMarch 13, 2020
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1538795356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
200 HEALTH PARK DR STE 205, Owosso, MI 48867
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Other Names 1

Doing Business AsMemorial Healthcare

Other Identifiers 1

Medicaid1538795356MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 ›

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 23D0983410

Memorial Healthcare Family Medicine - Owosso · Owosso, MI
Active · expires Apr 1, 2028
CLIA Number23D0983410
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorAngela Badra
Laboratory Phone(989) 723-8666
Laboratory LocationMemorial Healthcare Family Medicine - Owosso200 Health Park Drive Suite 201, Owosso, MI 48867
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

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

WYATT BOOTHBY-SHOEMAKER MD
Dermatology
200 HEALTH PARK DR STE 205
OWOSSO, MI 48867
Shiawassee County (989) 723-8666

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 Memorial Hospital's NPI number?

The NPI number for Memorial Hospital is 1538795356. It was assigned to this organization in the NPPES registry on March 13, 2020. The provider is doing business as Memorial Healthcare.

Where is Memorial Hospital located?

Memorial Hospital is located at 200 Health Park Dr Ste 205, Owosso, MI 48867. The listed phone number is (989) 723-8666.

What is Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0983410) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Hospital accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list 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 Memorial Hospital was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.