GEORGETOWN MEDICAL CENTER LLC is a general practice in Jenison, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee GEORGETOWN MEDICAL CENTER LLC NPI is 1427170414. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
670 BALDWIN ST
JENISON, MI
ZIP 49428-757
Phone: (616) 457-4610
Fax: (616) 457-8750
The provider's authorized official is Jay Lugthart .
The authorized official title is President and has the following contact phone number (616) 457-4610.
The CLIA number assigned to this NPI record is 23D0379553 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/3/2007 and was last updated on 5/24/2012.