MECOSTA COUNTY MEDICAL CENTER (NPI# 1477973493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477973493 |
| Entity Type | Organization |
| Organization Name | MECOSTA COUNTY MEDICAL CENTER |
| Other Organization Name | SPECTRUM HEALTH BIG RAPIDS HOSPITAL FAMILY MEDICINE CANADIAN LAKES |
| Practice Address |
8354 100th Ave Ste 1 Canadian Lakes MI 49346-8345 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2319726000 |
| Practice Fax Number | 2319726003 |
| Mailing Telephone | (616) 486-6790 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | THOMAS KNOERL (PRESIDENT) |
| Authorized Official Telephone | 2318327177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CMS CERTIFICATION NUMBER | 23-8667 | 01 |
| Other Name | Type Code |
|---|---|
| Spectrum Health Big Rapids Hospital Family Medicine Canadian Lakes | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760435317 | Mecosta County Medical Center | Home Health | 8354 100th Ave, Suite 3, Canadian Lakes, MI 49346-8344 | 2006-05-17 |
| 1316945991 | Mecosta County Medical Center | General Acute Care Hospital | 605 Oak St, Big Rapids, MI 49307-2048 | 2005-07-08 |
| 1407319460 | Mecosta County Medical Center | Clinic/Center | 111 E Church St, Tustin, MI 49688-5114 | 2019-04-08 |
| 1669935615 | Mecosta County Medical Center | Clinic/Center | 5991 95th Ave, Evart, MI 49631-9386 | 2019-04-08 |
| 1942693106 | Mecosta County Medical Center | Social Worker | 8354 100th Ave, Stanwood, MI 49346-8344 | 2015-03-12 |
| 1003209255 | Mecosta County Medical Center | Nurse Practitioner | 722 Locust St, Big Rapids, MI 49307-2040 | 2015-03-12 |
| 1891109591 | Mecosta County Medical Center | Clinic/Center | 722 Locust St, Ste 2, Big Rapids, MI 49307-2040 | 2014-06-20 |
| 1366725954 | Mecosta County Medical Center | Physical Medicine & Rehabilitation | 605 Oak St, Big Rapids, MI 49307-2048 | 2011-09-21 |
| 1891075479 | Mecosta County Medical Center | Obstetrics & Gynecology | 722 Locust St, Big Rapids, MI 49307-2040 | 2011-08-26 |
| 1508146457 | Mecosta County Medical Center | Family Medicine | 705 Oak St, Big Rapids, MI 49307-3107 | 2011-08-24 |
| Street Address |
8354 100TH AVE STE 1 |
| City | CANADIAN LAKES |
| State | MI |
| Zip Code | 49346-8345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114134681 | Gregerson Radiology Consultants Ltd. | Chiropractor | 8004 Red Fox Rd, Stanwood, MI 49346 | 2007-05-16 |
| 1073969960 | Spine By Design Inc. | Chiropractor | 10032 Buchanan Rd, Stanwood, MI 49346 | 2016-05-10 |
| 1619912714 | James D Biederbeck | Physical Therapist | 8354 100th Ave, Suite 2, Canadian Lakes, MI 49346-8333 | 2006-06-20 |
| 1760435317 | Mecosta County Medical Center | Home Health | 8354 100th Ave, Suite 3, Canadian Lakes, MI 49346-8344 | 2006-05-17 |
| 1730748609 | Katelin Anne Aris | Nurse Practitioner | 8354 100th Ave, Stanwood, MI 49346-8344 | 2019-06-13 |
| 1942693106 | Mecosta County Medical Center | Social Worker | 8354 100th Ave, Stanwood, MI 49346-8344 | 2015-03-12 |
| 1699104315 | Tiffany L Lattimore | Physician Assistant | 8354 100th Ave, Stanwood, MI 49346-8344 | 2013-11-04 |
| 1811152127 | Erin Patrece Dressander | Physical Therapist | 8354 100th Ave, Ste 2, Canadian Lakes, MI 49346-8344 | 2008-07-25 |
| 1912044215 | Eva Leigh Bartlett | Family Medicine | 8354 100th Ave, Canadian Lakes, MI 49346-8344 | 2007-01-30 |
| 1881620359 | Michelle Rose Godfrey | Physician Assistant | 8354 100th Ave, Suite 1, Stanwood, MI 49346-8344 | 2006-06-24 |
| Find all providers in zip 49346 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
| City | CANADIAN LAKES |
| Zip Code | 49346 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.