# MECOSTA COUNTY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MECOSTA COUNTY MEDICAL CENTER
- **Other names:** Spectrum Health Big Rapids OB/Gyn
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891075479
- **Legal business name:** MECOSTA COUNTY MEDICAL CENTER
- **Authorized official:** MR. THOMAS E DAUGHERTY (CEO)
- **Authorized official phone:** (231) 796-8691

## Contact information

- **Practice address:** 722 LOCUST ST, BIG RAPIDS, MI 49307-2040
- **Practice address phone:** (231) 592-4200
- **Mailing address:** 100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
- **Mailing address phone:** (616) 486-6790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | MI | Yes |

## Other

- **Enumeration date:** 08/26/2011
- **Last updated:** 05/06/2014