MEMORIAL MEDICAL CENTER OF WEST MICHIGAN (NPI# 1093161820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093161820 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN |
| Other Organization Name | SPECTRUM HEALTH LUDINGTON HOSPITAL OBSTETRICS AND GYNECOLOGY |
| Practice Address |
250 Nelson Rd Suite 1 Ludington MI 49431-1993 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2318436767 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | RANDALL STASIK (PRESIDENT) |
| Authorized Official Telephone | 2319241340 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Spectrum Health Ludington Hospital Obstetrics and Gynecology | 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 |
| 1972589489 | Memorial Medical Center of West Michigan | General Acute Care Hospital | 1 N 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 |
| 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 |
250 NELSON RD SUITE 1 |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446130 | Margaret E Gustafson | Obstetrics & Gynecology | 250 Nelson Rd, Ste 1, Ludington, MI 49431-1993 | 2005-06-09 |
| 1689050783 | Memorial Medical Center of West Michigan | Obstetrics & Gynecology | 250 Nelson Rd, Ludington, MI 49431-1993 | 2015-07-31 |
| 1578985966 | Trudie Brandt | Social Worker | 250 Nelson Rd, Suite 2, Ludington, MI 49431-1993 | 2014-01-20 |
| 1063834679 | Patricia A Murphy-ruhlig | Social Worker | 250 Nelson Rd, Ste 2, Ludington, MI 49431-1993 | 2014-01-16 |
| 1609143569 | Devin A Gill | Social Worker | 250 Nelson Rd, Suite 2, Ludington, MI 49431-1993 | 2011-11-21 |
| 1780801910 | Douglas J Gentry Md Pllc | Family Medicine | 250 Nelson Rd, Ste 2, Ludington, MI 49431-1993 | 2007-04-19 |
| 1588792295 | Dwight W Wood Md Plc | Ophthalmology | 250 Nelson Rd, Suite 1, Ludington, MI 49431-1993 | 2007-03-02 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578676441 | Primary Health Services PC | Clinic/Center | 505 W Ludington Ave, Ludington, MI 49431-2029 | 2006-08-16 |
| 1982063210 | Memorial Medical Center of West Michigan | Clinic/Center | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2016-02-15 |
| 1346628518 | Memorial Medical Center of West Michigan | Clinic/Center | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-05-08 |
| 1518385806 | Mercy Health Partners | Clinic/Center | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2014-04-03 |
| 1295171650 | Great Lakes Medical, P.C. | Clinic/Center | 5511 W Us Highway 10, Suite A, Ludington, MI 49431-2455 | 2013-05-13 |
| 1699043299 | Lakeshore Spine and Pain PC | Clinic/Center | 5511 W Us Highway 10, Suite B, Ludington, MI 49431-2455 | 2011-12-09 |
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|---|---|---|---|---|
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| 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 | ||||
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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.