MECOSTA COUNTY MEDICAL CENTER NPI 1477973493

NPI Information

NPI: 1477973493
Provider Name: MECOSTA COUNTY MEDICAL CENTER

Doing Business As: COREWELL HEALTH BIG RAPIDS HOSPITAL FAMILY MEDICINE - CANADIAN LAKES

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
8354 100TH AVE STE 1
CANADIAN LAKES, MI
ZIP 49346
Phone: (231) 972-6000
Get Directions

MECOSTA COUNTY MEDICAL CENTER is a rural health clinic center in Canadian Lakes, MI. MECOSTA COUNTY MEDICAL CENTER NPI is 1477973493. The provider is registered as an organization entity type.
The provider Is Doing Business As Corewell Health Big Rapids Hospital Family Medicine - Canadian Lakes.

The provider's business location address is:

8354 100TH AVE STE 1
CANADIAN LAKES, MI
ZIP 49346-345
Phone: (231) 972-6000
Fax: (231) 972-6003

The provider's authorized official is Amanda Knuth .
The authorized official title is Controller and has the following contact phone number (231) 349-1616.

The CLIA number assigned to this NPI record is 23D0947393 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 8/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23-8667	OTHER		CMS CERTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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