# MEMORIAL MEDICAL CENTER OF WEST MICHIGAN

> 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
- **Parent organization:** MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
- **Other names:** Corewell Health Ludington Hospital Family Medicine - Hart, Spectrum Health Ludington Hospital Family Medicine - Hart
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861800674
- **Legal business name:** MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
- **Authorized official:** JOHN SELLA (PESIDENT)
- **Authorized official phone:** (616) 802-0206

## Contact information

- **Practice address:** 2481 N 72ND AVE, HART, MI 49420-8008
- **Practice address phone:** (231) 873-2163
- **Practice address fax:** (231) 873-2143
- **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:** 08/22/2023