# NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1396878773
- **Authorized official:** MR. RANDALL J STASIK (CONTROLLER)
- **Authorized official phone:** (231) 924-1340

## Contact information

- **Practice address:** 78 N DIVISION ST, HESPERIA, MI 49421-5100
- **Practice address phone:** (231) 854-6415
- **Practice address fax:** (231) 854-6975
- **Mailing address:** 78 N DIVISION ST, HESPERIA, MI 49421-5100
- **Mailing address phone:** (231) 854-6415
- **Mailing address fax:** (231) 854-6975

## 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