MEMORIAL HEALTHCARE
NPI 1609030600
General Practice in Owosso, MI

Active since July 18, 2008CLIA 23D2232130 · Waiver
1002 E M 21 STE 100, OWOSSO, MI 48867(989) 720-5400(989) 729-4303 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2024, Sep 21, 2022, Dec 29, 2021 and 1 more (4 updates tracked since 2018).

About Memorial Healthcare NPPES

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

MEMORIAL HEALTHCARE (NPI 1609030600) is a healthcare organization registered as a general practice in Owosso, Michigan and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Jorri M Tremain, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609030600
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEMORIAL HOSPITAL
Location Address1002 E M 21 STE 100Owosso, MI 48867-9007
Mailing Address113 E Williams StOwosso, MI 48867-2360 · (989) 725-6528 · Fax (989) 723-9446
Fax(989) 729-4303
Organization SubpartYes
Authorized OfficialJorri M TremainCfo · (989) 729-4466
Enumeration DateJuly 18, 2008
Last NPPES UpdateDecember 9, 20244 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1609030600 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
1002 E M 21 STE 100, Owosso, MI 48867

Other Names 1

Doing Business AsMemorial Healthcare

Other Identifiers 1

Medicaid1609030600MI

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

328

Medicare enrollment records show 328 clinicians reassign Medicare billing to Memorial Healthcare, which bills Medicare for the services they deliver. Of these, 102 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 35

Nurse Practitioner54
Emergency Medicine42
Internal Medicine37
Certified Registered Nurse Anesthetist (CRNA)33
Anesthesiology20
Family Practice20
Neurology19
Obstetrics/Gynecology16
27 other specialties87

Nearest to this location (20)

See all 328
Otolaryngology
NPI 1316051949
818 W KING ST SUITE 301
Owosso, MI 48867
(989) 729-4800
✔ PECOS✔ Accepts Medicare3.3 mi
Qualified Audiologist
NPI 1710190244
818 W KING ST STE 301
Owosso, MI 48867
(989) 729-4800
✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1447118302
826 W KING ST
Owosso, MI 48867
(989) 720-2273
✔ PECOS3.3 mi
Family Practice
NPI 1578050563
200 N CALEDONIA DR
Owosso, MI 48867
(989) 729-4848
✔ PECOS✔ Accepts Medicare3.4 mi
Cardiovascular Disease (Cardiology)
NPI 1336147198
300 HEALTH PARK DR STE 301
Owosso, MI 48867
(989) 723-3613
✔ PECOS✔ Accepts Medicare3.4 mi
Internal Medicine
NPI 1801834445
300 HEALTH PARK DR STE 302
Owosso, MI 48867
(989) 723-5540
✔ PECOS✔ Accepts Medicare3.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225840895
826 W KING ST
Owosso, MI 48867
(989) 723-5211
✔ Accepts Medicare3.4 mi
General Surgery
NPI 1871741694
826 W KING ST
Owosso, MI 48867
(899) 723-5211
✔ PECOS✔ Accepts Medicare3.4 mi
Emergency Medicine
NPI 1861135055
826 W KING ST
Owosso, MI 48867
(800) 206-8706
✔ PECOS✔ Accepts Medicare3.4 mi
Anesthesiology
NPI 1649297235
826 W KING ST
Owosso, MI 48867
(810) 635-7453
✔ PECOS✔ Accepts Medicare3.4 mi
Obstetrics/Gynecology
NPI 1184846354
818 W KING ST STE LL
Owosso, MI 48867
(989) 729-4292
✔ PECOS✔ Accepts Medicare3.4 mi
Clinical Social Worker
NPI 1275486870
818 W KING ST STE LL
Owosso, MI 48867
(989) 729-4292
✔ PECOS3.4 mi
Ophthalmology
NPI 1952594079
802 W KING ST STE A
Owosso, MI 48867
(989) 288-3300
✔ PECOS✔ Accepts Medicare3.4 mi
Pediatric Medicine
NPI 1750341459
802 W KING ST STE M
Owosso, MI 48867
(989) 729-4100
✔ PECOS3.4 mi
Pulmonary Disease
NPI 1356399232
802 W KING ST STE J
Owosso, MI 48867
(989) 729-4071
✔ PECOS✔ Accepts Medicare3.4 mi
Hospitalist
NPI 1932498599
721 N SHIAWASSEE ST STE 101
Owosso, MI 48867
(989) 729-4673
✔ PECOS✔ Accepts Medicare3.6 mi
Gastroenterology
NPI 1073613808
721 N SHIAWASSEE ST STE 202
Owosso, MI 48867
(989) 729-1600
✔ PECOS✔ Accepts Medicare3.6 mi
Hematology/Oncology
NPI 1275625147
721 N SHIAWASSEE ST STE 101
Owosso, MI 48867
(989) 729-4673
✔ PECOS✔ Accepts Medicare3.6 mi
Orthopedic Surgery
NPI 1417243528
819 N SHIAWASSEE ST STE 200
Owosso, MI 48867
(989) 541-2663
✔ PECOS✔ Accepts Medicare3.6 mi
Physical Medicine and Rehabilitation
NPI 1205894557
819 N SHIAWASSEE ST STE 210
Owosso, MI 48867
(989) 541-2663
✔ PECOS✔ Accepts Medicare3.6 mi
See all 328 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 23D2232130

Memorial Healthcare Owosso Urgent Care · Owosso, MI
Active · expires Aug 9, 2027
CLIA Number23D2232130
Laboratory TypeUrgent Care
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorRonald Bishop
Laboratory Phone(989) 720-5400
Laboratory LocationMemorial Healthcare Owosso Urgent Care1002 E Main Street, Owosso, MI 48867
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1609030600. It was assigned to this organization in the NPPES registry on July 18, 2008. The provider is doing business as Memorial Healthcare.

Where is Memorial Hospital located?

Memorial Hospital is located at 1002 E M 21 Ste 100, Owosso, MI 48867. The listed phone number is (989) 720-5400.

What is Memorial Hospital's specialty?

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

Is Memorial Hospital enrolled in Medicare?

Yes. Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 328 clinicians in 35 Medicare specialties reassign their Medicare billing to Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (54), Emergency Medicine (42) and Internal Medicine (37). Of these, 102 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2232130) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Hospital accept?

Health plans from Priority Health 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 December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.