# MEMORIAL MEDICAL CENTER OF WEST MICHIGAN

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- **Entity:** Organization
- **Status:** 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:** 1497163216
- **Legal business name:** MEMORIAL MEDICAL CENTER OF WEST MICHIGA
- **Authorized official:** RANDALL KELLEY (PRESIDENT)
- **Authorized official phone:** (231) 845-2384

## Contact information

- **Practice address:** 500 N HANCOCK ST, PENTWATER, MI 49449-8935
- **Practice address phone:** (231) 869-7051
- **Mailing address:** 100 MICHIGAN ST NE \# MC845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2014
- **Last updated:** 03/15/2017