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Organization
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Active
Organization
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Active
Parent organization
MEMORIAL MEDICAL CENTER OF WEST MICHIGA
Other names
Spectrum Health Ludington Hospital Family Medicine - Pentwater
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL MEDICAL CENTER OF WEST MICHIGA
Authorized official
RANDALL KELLEY (PRESIDENT)
(231) 845-2384
Entity
Organization
Contact information
Practice address
500 N HANCOCK ST, PENTWATER, MI 49449-8935
(231) 869-7051
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/24/2014
Last updated
03/15/2017
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