Mecosta County Medical Center
Organization Active NPI Family Nurse Practitioner · Big Rapids, MI
NPI 1003209255 · NPPES record last updated Mar 12, 2015
Key facts
- NPI
- 1003209255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- MECOSTA COUNTY MEDICAL CENTER
- Practice address
- 722 Locust St
Big Rapids, MI 49307-2040 - Phone
- (231) 592-4200
- NPI assigned
- Mar 12, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- MECOSTA COUNTY MEDICAL CENTER
Authorized official
- Name
- Diedre Weller
- Title
- Director Finance
- Phone
- (231) 924-1380
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Mecosta Cnty General Hosp
- Part of
- Mecosta Cnty General Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes | ||
| Obstetrics & Gynecology Nurse Practitioner |
363LX0001X |
Addresses
Primary practice location
722 Locust St
Big Rapids, MI 49307-2040
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790
Other providers in Big Rapids, MI
- Philip H McCorkle III
- Jordyn Elizabeth McCormick
- Paula S McDowell
- Karin McKean
- Tracey Lyn McMullen
- Mecosta County Medical Center
- Mecosta County Medical Center
- Mecosta County Medical Center
- Mecosta County Medical Center
- Mecosta County Medical Center
All providers in Big Rapids, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.