Overview
Munson Healthcare Cadillac is a Rural Health Clinic/Center (organization) practicing in Cadillac, Michigan. The National Provider Identifier (NPI) is #1912303728, which was assigned on November 6, 2014, and the registration record was last updated on April 2, 2024. The practitioner's main practice location is at 7985 Mackinaw Trl, Cadillac, MI 49601-8111; the contact telephone number is 2318676200. The primary taxonomy of Munson Healthcare Cadillac is Rural Health Clinic/Center (261QR1300X), with specialization in Rural Health. The authorized official for Munson Healthcare Cadillac is Peter Marinoff (President/Ceo South Region).
Provider Information
| NPI | 1912303728 |
| Entity Type | Organization |
| Organization Name | MUNSON HEALTHCARE CADILLAC |
| Provider Name | MUNSON HEALTHCARE CADILLAC |
| Other Organization Name | CADILLAC PRIMARY CARE & OBGYN (Doing Business As Name) |
| Other Name | CADILLAC PRIMARY CARE & OBGYN |
| Practice Address | 7985 Mackinaw Trl Cadillac MI 49601-8111 |
| Practice Telephone | 2318676200 |
| Mailing Address | 3782 Momentum Pl Chicago IL 60689-5337 |
| Mailing Telephone | 2318767476 |
| Certification Date | 2024-04-02 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2024-04-02 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | MUNSON HEALTHCARE |
Authorized Official Information
| Official Name | PETER MARINOFF |
| Official Title | PRESIDENT/CEO SOUTH REGION |
| Telephone | 2313522259 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 261QR1300X | Clinic/Center | Rural Health |
Other Provider Identifiers
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 238635 | MI | MEDICAID | |
| 00009 | MI | BLUE CROSS | Other |
Other Provider Names
| Other Organization Name | Type |
|---|---|
| CADILLAC PRIMARY CARE & OBGYN | Doing Business As Name |
Providers with the same name
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Munson Healthcare Cadillac · Sleep Disorder Center | 400 Hobart St, Cadillac, MI 49601-2331 | Sleep Disorder Diagnostic Clinic/Center | 2019-07-30 |
| Munson Healthcare Cadillac Surgical Services | 927 S Carmel St, Cadillac, MI 49601-2547 | Surgery Physician | 2014-12-11 |
| Munson Healthcare Cadillac · Mcbain Primary Care | 100 N Roland St, Mc Bain, MI 49657-9683 | Family Medicine Physician | 2019-03-07 |
| Munson Healthcare Cadillac | 803 Lynn St, Cadillac, MI 49601-2336 | Occupational Medicine Clinic/Center | 2022-12-22 |
| Munson Healthcare Cadillac Urology | 1011 Sunnyside Dr, Cadillac, MI 49601-8735 | Urology Physician | 2020-06-30 |
| Munson Healthcare Cadillac Hospital Pharmacy | 400 Hobart St, Cadillac, MI 49601-2331 | Community/Retail Pharmacy | 2006-09-28 |
| Munson Healthcare Cadillac · Munson Healthcare Urgent Care | 302 Hobart St, Cadillac, MI 49601-2379 | Family Medicine Physician | 2018-05-11 |
| Munson Healthcare Cadillac | 400 Hobart St, Cadillac, MI 49601-2331 | General Acute Care Hospital | 2014-11-05 |
| Munson Healthcare Cadillac Physician Network | 400 Hobart St, Cadillac, MI 49601-2331 | Family Medicine Physician | 2014-12-03 |
| Munson Healthcare Cadillac Anesthesia | 400 Hobart St, Cadillac, MI 49601-2331 | Anesthesiology Physician | 2014-12-11 |
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Taxonomy Information
Primary Taxonomy
| Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Grouping | Ambulatory Health Care Facilities |
Definition: Definition to come...
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Baptist Health | 21 Opportunity Dr, Sheridan, AR 72150-9185 | Rural Health Clinic/Center | 2024-03-15 |
| Marshall County Hma, LLC | 1400 Bryan Dr Ste 301, Durant, OK 74701-2158 | Rural Health Clinic/Center | 2024-03-06 |
| Crossroads Medical Group, PLLC | 291 Sage Road, Suite 200, White House, TN 37188 | Rural Health Clinic/Center | 2024-03-08 |
| Crossroads Medical Group, PLLC | 342 Frey St, Ashland City, TN 37015-1734 | Rural Health Clinic/Center | 2024-03-06 |
| Izard Regional Hospital, LLC | 684 Hwy 62 W, Suite 2, Salem, AR 72576 | Rural Health Clinic/Center | 2024-03-18 |
| Hendrick Medical Center Brownwood | 2005 Highway 183 N, Early, TX 76802-2188 | Rural Health Clinic/Center | 2024-03-21 |
| Meadowview Physician Practice LLC | 2009 Old Main St Ste 201, Maysville, KY 41056-8928 | Rural Health Clinic/Center | 2024-04-01 |
| Crossroads Medical Group, PLLC | 491 Sage Rd N Ste 800, White House, TN 37188-9362 | Rural Health Clinic/Center | 2024-03-06 |
| Crossroads Medical Group, PLLC | 3001 Reserve Blvd Ste 200, Spring Hill, TN 37174-3101 | Rural Health Clinic/Center | 2024-03-06 |
| Baldwin Area Medical Center | 114 E Akers St, Spring Valley, WI 54767 | Rural Health Clinic/Center | 2024-03-22 |
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Location Information
| Street Address | 7985 MACKINAW TRL |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-8111 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| 7985 Mackinaw Trl, Suite 100, Cadillac, MI 49601-8111 | Home Health Agency | 2006-01-30 | |
| Heather Lynn Nolan · Heather Lynn Loomis | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Family Nurse Practitioner | 2011-04-15 |
| Mercy Hospital Cadillac · Mercy Cadillac Physician Network | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Family Medicine Physician | 2010-06-10 |
| Jennifer Michelle Piwowarski | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Family Medicine Physician | 2008-10-17 |
| 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Family Medicine Physician | 2015-08-10 | |
| Lori M Crago | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Family Medicine Physician | 2005-05-27 |
| Kylee Gatzke | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Family Nurse Practitioner | 2012-10-11 |
| Amy Joann Taylor | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Mental Health Counselor | 2006-01-31 |
| Mercy Hospital Cadillac · Mercy Cadillac Physician Network | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Family Medicine Physician | 2011-12-27 |
| Mercy Professional Services · Mercy Ob/Gyn Partners | 7985 Mackinaw Trl Ste 201, Cadillac, MI 49601-8111 | Obstetrics & Gynecology Physician | 2008-02-14 |
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Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Nelson R Pou | 7985 S Mackinaw Trl, Cadillac, MI 49601-8111 | Obstetrics & Gynecology Physician | 2006-09-20 |
| Marianne Tison Dickerson | 7985 S Mackinaw Trl, Cadillac, MI 49601-8111 | Midwife | 2005-06-27 |
| Amanda Linnee | 7985 S Mackinaw Trl, Cadillac, MI 49601-8111 | Midwife | 2022-11-04 |
| Jennifer Poineau Brown | 7985 S Mackinaw Trl, Cadillac, MI 49601-8111 | Midwife | 2017-09-21 |
| James Matthew Diener | 7985 S Mackinaw Trl, Cadillac, MI 49601-8111 | Internal Medicine Physician | 2013-06-29 |
| Makenzie Tremp | 7985 S Mackinaw Trl, Cadillac, MI 49601-8111 | Obstetrics & Gynecology Physician | 2018-05-09 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Chelsy Ann Boelkins | 9065 34 Rd, Cadillac, MI 49601 | Nurse Practitioner | 2022-11-23 |
| Curry House | 5858 S 47 Rd., Cadillac, MI 49601 | Nursing Home Administrator | 2013-07-05 |
| Rosanne Marie Denny | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | Behavior Technician | 2017-02-28 |
| Nedra Rose Clark | 527 Cobbs St, Northern Lakes Community Mental Health, Cadillac, MI 49601 | Registered Nurse | 2013-04-11 |
| Leilani Denison Kitler | 527 Cobb Street, Northern Lakes Community Mental Health, Cadillac, MI 49601 | Social Worker | 2013-02-15 |
| Serenity Adult Foster Care Home LLC | 2883 S. 41 Rd., Cadillac, MI 49601 | Foster Care Agency | 2013-07-29 |
| Tricia Wing | 704 Oak Street, Cadillac, MI 49601 | Physical Therapist | 2018-03-16 |
| Cameron Dehaan | 7800 Us 131 South, Cadillac, MI 49601 | Student in an Organized Health Care Education/Training Program | 2013-05-01 |
| Kristine Treston Kowalewsky | 9065 34th Rd, Cadillac, MI 49601 | Family Nurse Practitioner | 2022-09-21 |
| Catherine Larson | 527 Cobbs Street, Cadillac, MI 49601 | Psychiatric/Mental Health Registered Nurse | 2013-02-22 |
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Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Munson Healthcare Grayling · Mio Primary Care | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | Rural Health Clinic/Center | 2020-02-24 |
| Mercy Hospital Cadillac · Mercy Cadillac Physician Network | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Family Medicine Physician | 2011-12-27 |
| Baldwin Family Health Care · Cadillac Schools Behavioral Health Services | 125 Ayer St, Cadillac, MI 49601-1220 | Federally Qualified Health Center (FQHC) | 2017-10-31 |
| Audiological Services of Cadillac Inc. | 8872 Professional Dr Ste A, Cadillac, MI 49601-8482 | Audiologist | 2007-07-27 |
| 7985 Mackinaw Trl, Suite 100, Cadillac, MI 49601-8111 | Home Health Agency | 2006-01-30 | |
| Munson Healthcare Charlevoix Hospital · Munson Healthcare Charlevoix Primary Care | 14734 Park Ave, Charlevoix, MI 49720-1927 | Rural Health Clinic/Center | 2019-10-22 |
| Mercy Hospital Cadillac · Mercy Cadillac Physician Network | 100 N Roland St, Mc Bain, MI 49657-9683 | Family Medicine Physician | 2013-05-23 |
| Munson Healthcare Grayling · Munson Healthcare Mio Primary Care | 1321 S Mount Tom Rd, Mio, MI 48647-9518 | Rural Health Clinic/Center | 2019-09-17 |
| Mercy Hospital Cadillac · Mercy Cadillac Physician Network | 7985 Mackinaw Trl, Cadillac, MI 49601-8111 | Family Medicine Physician | 2010-06-10 |
| Munson Medical Group · Munson Healthcare Foster Family Primary Care | 550 Munson Ave, Traverse City, MI 49686-3580 | Family Medicine Physician | 2023-08-16 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
