Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Other names
Spectrum Health Big Rapids Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DAUGHERTY (CEO)
(231) 592-4407
Entity
Organization
Contact information
Practice address
605 OAK ST, BIG RAPIDS, MI 49307-2048
(231) 592-4407
(231) 592-4494
Mailing address
605 OAK ST, BIG RAPIDS, MI 49307-2048
(231) 592-4407
(231) 592-4494
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E44799
1500 CRNA
MI
Enumeration date
05/08/2006
Last updated
09/24/2013
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