Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Parent organization
MECOSTA COUNTY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MECOSTA COUNTY MEDICAL CENTER
Authorized official
DIEDRE WELLER (DIRECTOR FINANCE)
(231) 924-1380
Entity
Organization
Contact information
Practice address
722 LOCUST ST, BIG RAPIDS, MI 49307-2040
(231) 592-4200
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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