MEMORIAL MEDICAL CENTER OF WEST MICHIGAN NPI 1215396205

NPI Information

NPI: 1215396205
Provider Name: MEMORIAL MEDICAL CENTER OF WEST MICHIGAN

Doing Business As: SPECTRUM HEALTH LUDINGTON HOSPITAL FAMILY MEDICINE - LUDINGTON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
7 N ATKINSON DR
SUITE 113
LUDINGTON, MI
ZIP 49431
Phone: (231) 843-3700
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MEMORIAL MEDICAL CENTER OF WEST MICHIGAN is a rural health clinic center in Ludington, MI. MEMORIAL MEDICAL CENTER OF WEST MICHIGAN NPI is 1215396205. The provider is registered as an organization entity type.
The provider Is Doing Business As Spectrum Health Ludington Hospital Family Medicine - Ludington.

The provider's business location address is:

7 N ATKINSON DR
SUITE 113
LUDINGTON, MI
ZIP 49431-953
Phone: (231) 843-3700

The provider's authorized official is Mark Vipperman .
The authorized official title is President and has the following contact phone number (231) 873-2163.

The CLIA number assigned to this NPI record is 23D0886811 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2016 and was last updated on 3/9/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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: 4/28/2024

NPI Synchronization or Removal

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