Organization
MECOSTA COUNTY MEDICAL CENTER
Active
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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