# MEMORIAL MEDICAL CENTER OF WEST MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
- **Other names:** Spectrum Health Ludington Hospital Obstetrics and Gynecology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093161820
- **Legal business name:** MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
- **Authorized official:** RANDALL STASIK (PRESIDENT)
- **Authorized official phone:** (231) 924-1340

## Contact information

- **Practice address:** 250 NELSON RD, SUITE 1, LUDINGTON, MI 49431-1993
- **Practice address phone:** (231) 843-6767
- **Mailing address:** 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2016
- **Last updated:** 06/15/2016