MEMORIAL HOSPITAL
NPI 1558432237
Physician Assistant in Owosso, MI

NPI Status: Active since November 13, 2006

Contact Information

802 W KING ST
SUITE N
OWOSSO, MI
ZIP 48867
Phone: (989) 729-4041

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  • Organization
  • Physician Assistant
  • CLIA Number: 23D2003991
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-22-2026

About MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Memorial Hospital, a primary care provider established in Owosso, Michigan operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1558432237 assigned on November 2006. The practitioner's primary taxonomy code is 363A00000X with license number 5601003225 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. Memorial Hospital operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mike Grisdela (Cfo)

NPI
1558432237
Provider Legal Name
MEMORIAL HOSPITAL
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
802 W KING ST SUITE N OWOSSO, MI 48867
Location Phone
(989) 729-4041
Mailing Address
826 W KING ST PO BOX 456 OWOSSO, MI 48867
Mailing Phone
(989) 729-6353
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2006
Last Update Date
09-11-2025
Code Navigator

A primary care provider (PCP) like Memorial Hospital sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601003225
License State
MI
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

4301041531 (MI)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MIKE GRISDELA

Authorized Official Title
CFO
Authorized Official Phone
(989) 723-5211

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2003991
Facility Type
Physician Office
Certificate Effective Date
February 23, 2024
Certificate Expiration Date
February 22, 2026
Laboratory Director
ANTHONY PATSY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Memorial Hospital in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558432237, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 8 + 3 + 4 + 2 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1558432237.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Surgery
802 W KING ST, SUITE M
OWOSSO, MI 48867
Pediatrics
802 W KING ST, SUITE J
OWOSSO, MI 48867
Internal Medicine (Gastroenterology)
802 W KING ST, STE Q
OWOSSO, MI 48867
Surgery
802 W KING ST, SUITE M
OWOSSO, MI 48867
Psychologist
802 W KING ST, SUITE P.
OWOSSO, MI 48867
Surgery
802 W KING ST, SUITE M
OWOSSO, MI 48867
Internal Medicine (Gastroenterology)
802 W KING ST, SUITE Q
OWOSSO, MI 48867
Pediatrics (Pediatric Cardiology)
802 W KING ST
OWOSSO, MI 48867
Dietitian, Registered
802 W KING ST, SUITE R
OWOSSO, MI 48867
Registered Nurse (General Practice)
802 W KING ST, SUITE C
OWOSSO, MI 48867
Marriage & Family Therapist
802 W KING ST, SUITE P
OWOSSO, MI 48867
Social Worker (Clinical)
802 W KING ST, SUITE P
OWOSSO, MI 48867

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558432237, enumerated as an "organization" on November 13, 2006.

The provider is located at 802 W KING ST SUITE N OWOSSO, MI 48867 and the phone number is (989) 729-4041.

Physician Assistant with taxonomy code 363A00000X.