MECOSTA COUNTY MEDICAL CENTER (NPI# 1407319460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407319460 |
Entity Type | Organization |
Organization Name | MECOSTA COUNTY MEDICAL CENTER |
Practice Address |
111 E Church St Tustin MI 49688-5114 |
Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
Practice Telephone | 2318328560 |
Enumeration Date | 2019-04-08 |
Last Update Date | 2019-04-08 |
Authorized Official Name | THOMAS KNOERL (CONTROLLER) |
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 |
Other Name | Type Code |
---|---|
Spectrum Health Big Rapids Hospital Family Medicine Tustin | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477973493 | Mecosta County Medical Center | Clinic/Center | 8354 100th Ave Ste 1, Canadian Lakes, MI 49346-8345 | 2014-04-17 |
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 |
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 |
111 E CHURCH ST |
City | TUSTIN |
State | MI |
Zip Code | 49688-5114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861459059 | Ann L Truax | Nurse Practitioner | 111 E Church St, Tustin, MI 49688-5114 | 2006-05-01 |
1144699125 | Heather Marie Williams | Physician Assistant | 111 E Church St, Tustin, MI 49688-5114 | 2015-09-19 |
1609162957 | Kali Corinne Vanstee | Physician Assistant | 111 E Church St, Tustin, MI 49688-5114 | 2011-06-24 |
1225236334 | Reed City Hospital Corporation | Clinic/Center | 111 E Church St, Tustin, MI 49688-5114 | 2007-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578523502 | Jonathan Andrew Dennis | Family Medicine | 111 Church Street, Tustin, MI 49688-5113 | 2006-03-24 |
1912250861 | Amanda Nixon | Physician Assistant | 202 S Howard St, Tustin, MI 49688-5123 | 2012-10-16 |
1578072591 | Amanda K Nixon Pa-c PC | Clinic/Center | 202 Howard St, Tustin, MI 49688-5123 | 2017-09-21 |
1083134886 | Amanda K Nixon Pa-c PC | Physician Assistant | 202 S Howard St, Tustin, MI 49688-5123 | 2017-06-22 |
1396015731 | Barbara Ann Johnson | Contractor | 20936 20 Mile Rd, Tustin, MI 49688-8021 | 2012-01-02 |
1578833919 | Bridget Renee Johnson | Contractor | 20090 210th Ave, Tustin, MI 49688-8210 | 2012-01-02 |
1346787025 | Asmc II, Pllc | Physician Assistant | 20626 120th Ave, Tustin, MI 49688-8220 | 2017-01-19 |
1699372144 | Katherine Reynhout | Behavior Technician | 15204 20 Mile Rd, Tustin, MI 49688-8528 | 2020-10-07 |
1891064085 | Kelly Mitchell | Contractor | 15194 21 Mile Rd, Tustin, MI 49688-8545 | 2011-12-19 |
1144598608 | Holli Michelle Meier | Speech-Language Pathologist | 14882 22 Mile Rd, Tustin, MI 49688-8554 | 2011-12-12 |
Find all providers in zip 49688 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578072591 | Amanda K Nixon Pa-c PC | Clinic/Center | 202 Howard St, Tustin, MI 49688-5123 | 2017-09-21 |
1225236334 | Reed City Hospital Corporation | Clinic/Center | 111 E Church St, Tustin, MI 49688-5114 | 2007-07-10 |
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 |
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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.