Organization
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Active
Parent organization
MEMORIAL MEDICAL CENTER OF WEST MICHIGA
Other names
Spectrum Health Ludington Hospital Family Medicine - Pentwater
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL MEDICAL CENTER OF WEST MICHIGA
Authorized official
RANDALL KELLEY (PRESIDENT)
(231) 845-2384
Entity
Organization
Contact information
Practice address
500 N HANCOCK ST, PENTWATER, MI 49449-8935
(231) 869-7051
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
03/15/2017
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