NPI

Cheboygan Opco LLC

Doing business as Medilodge of Cheboygan. Phone (231) 627-4347 · NPI 1295251676

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2017-08-17
Last updated
2026-05-28

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
824 S Huron St
City
Cheboygan MI
Postal code
49721-2210
Phone
(231) 627-4347

Organization contact

Name
Kristine Kirk
Title
Delegated Official
Phone
(417) 846-3521

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Cheboygan, MI. 301 records in the public file.

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