MEMORIAL MEDICAL CENTER OF WEST MICHIGAN (NPI# 1972589489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972589489 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN |
| Other Organization Name | SPECTRUM HEALTH LUDINGTON HOSPITAL |
| Practice Address |
1 N Atkinson Dr Ludington MI 49431-1906 |
| Practice Telephone | 2318432591 |
| Practice Fax Number | 2318453696 |
| Mailing Telephone | 2318432591 |
| Mailing Fax Number | 2318453696 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | MR. RANDALL KELLEY (PRESIDENT) |
| Authorized Official Telephone | 2318452385 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
530010 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5171299 | 05 | |
| MI | MEDICARE PART B | 0E36002 | 01 |
| MI | 1556026 | 05 |
| Other Name | Type Code |
|---|---|
| Spectrum Health Ludington Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650160 | Memorial Medical Center of West Michigan | Home Health | 1n Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1932662996 | Memorial Medical Center of West Michigan | Clinic/Center | 230 S Maple St, Grant, MI 49327-9006 | 2019-04-08 |
| 1730642794 | Memorial Medical Center of West Michigan | Clinic/Center | 78 N Division St, Hesperia, MI 49421-5100 | 2019-04-08 |
| 1093161820 | Memorial Medical Center of West Michigan | Clinic/Center | 250 Nelson Rd, Suite 1, Ludington, MI 49431-1993 | 2016-05-11 |
| 1215396205 | Memorial Medical Center of West Michigan | Clinic/Center | 7 N Atkinson Dr, Suite 113, Ludington, MI 49431-1953 | 2016-02-18 |
| 1982063210 | Memorial Medical Center of West Michigan | Clinic/Center | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2016-02-15 |
| 1538528872 | Memorial Medical Center of West Michigan | Clinic/Center | 907 E Tinkham Ave, Ludington, MI 49431-1537 | 2016-02-15 |
| 1689050783 | Memorial Medical Center of West Michigan | Obstetrics & Gynecology | 250 Nelson Rd, Ludington, MI 49431-1993 | 2015-07-31 |
| 1174908388 | Memorial Medical Center of West Michigan | Obstetrics & Gynecology | 913 E Ludington Ave, Ludington, MI 49431-2437 | 2015-07-29 |
| 1053794685 | Memorial Medical Center of West Michigan | Pediatrics | 907 E Tinkham Ave, Ludington, MI 49431-1537 | 2015-07-01 |
| Street Address |
1 N ATKINSON DR |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033505128 | Spectrum Health | Non-Pharmacy Dispensing Site | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2015-04-15 |
| 1508260902 | Memorial Medical Center of West Michigan | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-10-14 |
| 1629481502 | Spectrum Health Primary Care Partners | Internal Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-06-09 |
| 1477966489 | West Michigan Heart | Internal Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-06-06 |
| 1326481847 | Brian Lindenborn | Nurse Anesthetist, Certified Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2013-04-15 |
| 1790025500 | Indigo Hospital Medicine - Ludington, Plc | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2013-02-15 |
| 1215280722 | Robert Paul Olson | Nurse Anesthetist, Certified Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2012-10-22 |
| 1376781005 | Jorel Dickinson-hendershot | Nurse Anesthetist, Certified Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2009-02-03 |
| 1538324553 | Iman Henry Zeidan | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2008-07-21 |
| 1457524019 | Christa W Lenz | Dietitian, Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2008-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732103 | West Branch Regional Medical Center | General Acute Care Hospital | 2463 S M 30, West Branch, MI 48661-9312 | 2005-10-06 |
| 1720589740 | Kathleen Grace Haas | General Acute Care Hospital | 14700 Lake Shore Dr, Charlevoix, MI 49720-1931 | 2018-02-25 |
| 1083010953 | Munson Healthcare Grayling | General Acute Care Hospital | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2014-11-05 |
| 1548662893 | Marquette General Hosptial-dlp | General Acute Care Hospital | 580 W College Ave, Marquette, MI 49855-2736 | 2014-09-18 |
| 1306277421 | Setu Sharma | General Acute Care Hospital | 234 Lake St, Roscommon, MI 48653-9203 | 2013-12-01 |
| 1184947756 | Huron Valley Sinai Hospital | General Acute Care Hospital | 1 William Carls Dr, Ohs, Commerce Township, MI 48382-2201 | 2010-03-10 |
| 1598099699 | Sturgis Hospital, Inc. | General Acute Care Hospital | 916 Myrtle St, Sturgis, MI 49091-2326 | 2009-09-23 |
| 1144479338 | Bell Memorial Hospital | General Acute Care Hospital | 101 S 4th St, Ishpeming, MI 49849-2151 | 2008-09-12 |
| 1881877819 | Alpena Regional Medical Center Behavioral Health Services | General Acute Care Hospital | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2007-12-13 |
| 1356565170 | Bronson Lakeview Hospital | General Acute Care Hospital | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2007-04-12 |
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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.