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MECOSTA COUNTY MEDICAL CENTER NPI 1003209255


NPI Information

NPI: 1003209255
Provider Name: MECOSTA COUNTY MEDICAL CENTER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 23D2231801

Address:
722 LOCUST ST
BIG RAPIDS, MI
ZIP 49307
Phone: (231) 592-4200
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MECOSTA COUNTY MEDICAL CENTER is a family nurse practitioner in Big Rapids, MI. MECOSTA COUNTY MEDICAL CENTER NPI is 1003209255. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

722 LOCUST ST
BIG RAPIDS, MI
ZIP 49307-040
Phone: (231) 592-4200

The provider's authorized official is Diedre Weller .
The authorized official title is Director Finance and has the following contact phone number (231) 924-1380.

The CLIA number assigned to this NPI record is 23D2231801 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2015 and was last updated on 3/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2363LX0001XNurse PractitionerObstetrics & GynecologyNo
3363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.