MECOSTA COUNTY MEDICAL CENTER (NPI# 1669935615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669935615 |
| Entity Type | Organization |
| Organization Name | MECOSTA COUNTY MEDICAL CENTER |
| Practice Address |
5991 95th Ave Evart MI 49631-9386 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2318328700 |
| Mailing Telephone | 6164866790 |
| 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 Evart | 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 |
| 1407319460 | Mecosta County Medical Center | Clinic/Center | 111 E Church St, Tustin, MI 49688-5114 | 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 |
5991 95TH AVE |
| City | EVART |
| State | MI |
| Zip Code | 49631-9386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508828096 | Mark Nelson Marzolf | Family Medicine | 5991 95th Ave, Evart, MI 49631-9386 | 2006-04-03 |
| 1992094403 | Ryan Mallo | Nurse Practitioner | 5991 95th Ave, Evart, MI 49631-9386 | 2011-04-05 |
| 1841590171 | Susan Jean Kaap | Registered Nurse | 5991 95th Ave, Evart, MI 49631-9386 | 2010-11-03 |
| 1386743763 | Julie Mardauss-kahler | Nurse Practitioner | 5991 95th Ave, Evart, MI 49631-9386 | 2006-09-21 |
| 1538265343 | Reed City Hospital Corporation | Clinic/Center | 5991 95th Ave, Evart, MI 49631-9386 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114254190 | Woodlawn Hospital | Family Medicine | 100 E Dunn Street, Fulton, IN 49631 | 2009-11-11 |
| 1144458357 | Kathleen Marie Hylton | Licensed Practical Nurse | 319 S Hemlock St, Evart, MI 49631 | 2009-06-25 |
| 1285735241 | Peter A Tomshack | Pharmacist | 107 North Main, Evart, MI 49631 | 2006-09-25 |
| 1255518841 | Hinkley Drug Store | Pharmacy | 107 N Main, Evart, MI 49631 | 2008-01-25 |
| 1740469394 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 107 North Main, Evart, MI 49631 | 2007-10-31 |
| 1750456141 | Rodney Edwin Drouse | Chiropractor | 210 N Main St, Evart, MI 49631 | 2006-11-21 |
| 1649369406 | Douglas John Kane | Dentist | 122 N Main St, Evart, MI 49631 | 2006-10-12 |
| 1659479335 | Holihans Drug Store | Pharmacist | 128 N Main St, Evart, MI 49631 | 2006-09-20 |
| 1932154457 | Midmichigan Medical Center - Clare | Nurse Practitioner | 220 N Main St, Evart, MI 49631 | 2006-05-23 |
| 1467565051 | Karen E. Flachs | Dentist | 120 N. Pine, Evart, MI 49631-0842 | 2006-08-16 |
| Find all providers in zip 49631 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538265343 | Reed City Hospital Corporation | Clinic/Center | 5991 95th Ave, Evart, MI 49631-9386 | 2006-09-16 |
| 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.