Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Other names
Spectrum Health Big Rapids Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS KNOERL (VP FINANCE)
(231) 592-4253
Entity
Organization
Contact information
Practice address
8354 100TH AVE, SUITE 3, CANADIAN LAKES, MI 49346-8344
(231) 592-4209
(231) 592-4579
Mailing address
8354 100TH AVE, SUITE 3, CANADIAN LAKES, MI 49346-8344
(231) 592-4209
(231) 592-4579
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
540030
MI
Other
Enumeration date
05/17/2006
Last updated
09/11/2015
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