# MECOSTA COUNTY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spectrum Health Big Rapids Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760435317
- **Authorized official:** MR. THOMAS KNOERL (VP FINANCE)
- **Authorized official phone:** (231) 592-4253

## Contact information

- **Practice address:** 8354 100TH AVE, SUITE 3, CANADIAN LAKES, MI 49346-8344
- **Practice address phone:** (231) 592-4209
- **Practice address fax:** (231) 592-4579
- **Mailing address:** 8354 100TH AVE, SUITE 3, CANADIAN LAKES, MI 49346-8344
- **Mailing address phone:** (231) 592-4209
- **Mailing address fax:** (231) 592-4579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 540030 | MI | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 09/11/2015