MECOSTA COUNTY MEDICAL CENTER


Address: 111 E Church St, Tustin, MI 49688-5114
Phone: 2318328560

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Spectrum Health Big Rapids Hospital Family Medicine Tustin Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 111 E CHURCH ST
City TUSTIN
State MI
Zip Code 49688-5114

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City TUSTIN
Zip Code 49688

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Dataset Information

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.

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