OrganizationActive
Munson Healthcare Otsego Memorial Hospital
NPI 1174313852 · Rural Health Clinic/Center · Petoskey, MI
Provider details
- NPI number
- 1174313852
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Frye, Pres Ambulatory & Bus Development(704) 458-8010
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone: (231) 417-6000
Fax: (231) 417-6005
Street-level locationGet directions
Mailing address
1105 Sixth St
Traverse City, MI 49684-2345
Other names (DBA / former)
- Doing business as
- Munson Healthcare Petoskey Community Health Center
Registry dates
- Enumerated
- 2025-05-07
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.