MEMORIAL MEDICAL CENTER OF WEST MICHIGAN (NPI# 1356510259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356510259 |
| 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 |
| Mailing Telephone | 2318452591 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | KERRI NELSON (CONTROLLER) |
| Authorized Official Telephone | 2318452251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 1080000028 | MI | Hospital Units |
| 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 |
| 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 |
| 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 |
| Street Address |
1 N ATKINSON DR |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589489 | Memorial Medical Center of West Michigan | General Acute Care Hospital | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 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 |
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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 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982983094 | Senior Psychiatric Hospitalists of Mi, Pllc | Psychiatric Unit | 3572 Empire State Dr, Canton, MI 48188-8202 | 2011-08-07 |
| 1841591260 | Growing Counseling Services, LLC | Psychiatric Unit | 446 Tobin Dr, 311, Inkster, MI 48141-3557 | 2010-11-17 |
| 1548426372 | Gloria Carr | Psychiatric Unit | 404 Velvet Ave, Portage, MI 49002-7050 | 2008-07-31 |
| 1356370522 | Advanced Counseling Services | Psychiatric Unit | 6223 N Canton Center Rd, Ste. 210, Canton, MI 48187-2696 | 2006-07-01 |
| 1669431292 | Edward W. Sparrow Hospital Association | Psychiatric Unit | 1210 W. Saginaw Street, Lansing, MI 48912-1999 | 2006-03-22 |
| 1831179837 | Mclaren Greater Lansing | Psychiatric Unit | 2727 S Penn Ave, Lansing, MI 48910-3488 | 2006-01-18 |
| 1003892092 | Ascension Providence Hospital | Psychiatric Unit | 16001 W. 9 Mile Road, Southfield, MI 48075-4818 | 2005-12-21 |
| 1265426704 | Healthsource Saginaw Inc | Psychiatric Unit | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2005-09-09 |
| 1407480247 | Prime Healthcare Services - Garden City, LLC | Psychiatric Unit | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-03-02 |
| 1255748307 | Henry Ford Health System | Psychiatric Unit | 1 Ford Pl, Detroit, MI 48202-3450 | 2014-07-21 |
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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.