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Organization

MEMORIAL MEDICAL CENTER OF WEST MICHIGAN

Active
Other names
Corewell Health Ludington Hospital, Spectrum Health Ludington Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DREW DOSTAL (REGIONAL MARKET LEADER)
(231) 924-1340
Entity
Organization

Contact information

Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 843-2591
(231) 845-3696
Mailing address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 843-2591
(231) 845-3696

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
282NR1301X
Rural Acute Care Hospital
530010
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E36002
MEDICARE PART B
MI
05
1556026
MI
05
5171299
MI
Enumeration date
12/16/2005
Last updated
08/15/2023
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