# NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spectrum Health Gerber Memorial Family Medicine - Grant
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013040492
- **Authorized official:** RANDALL J STASIK (PRESIDENT)
- **Authorized official phone:** (231) 924-1340

## Contact information

- **Practice address:** 230 S MAPLE ST, GRANT, MI 49327-9006
- **Practice address phone:** (231) 834-5995
- **Practice address fax:** (231) 834-0248
- **Mailing address:** 100 MICHIGAN ST NE \# MC845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | MI | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 06/03/2016