# MECOSTA COUNTY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spectrum Health Big Rapids Hospital Family Medicine Tustin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407319460
- **Authorized official:** THOMAS KNOERL (CONTROLLER)
- **Authorized official phone:** (231) 832-7177

## Contact information

- **Practice address:** 111 E CHURCH ST, TUSTIN, MI 49688-5114
- **Practice address phone:** (231) 832-8560
- **Mailing address:** 100 MICHIGAN ST NE \# MC845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2019
- **Last updated:** 04/08/2019