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Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Parent organization
MECOSTA COUNTY MEDICAL CENTER
Other names
CHBRH TM Clinic Big Rapids HS, Spectrum Health Big Rapids Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MECOSTA COUNTY MEDICAL CENTER
Authorized official
ELISABETH LACEY (CREDENTIALING MANAGER)
(616) 486-6630
Entity
Organization
Contact information
Practice address
21175 15 MILE RD, BIG RAPIDS, MI 49307-8844
(616) 754-6185
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
08/09/2021
Last updated
08/30/2023
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