Memorial Medical Center of West Michigan

Organization Active NPI Psychiatric Hospital Unit · Ludington, MI

NPI 1356510259 · NPPES record last updated Jun 14, 2016

Key facts

NPI
1356510259
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital Unit 273R00000X
License
1080000028 (MI)
Legal business name
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Practice address
1 N Atkinson Dr
Ludington, MI 49431-1906
Phone
(231) 843-2591
NPI assigned
Feb 25, 2008
Organization subpart
No

Authorized official

Name
Kerri Nelson
Title
Controller
Phone
(231) 845-2251

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071128000647 MI Part B Supplier - Clinic/Group Practice 3678543659 Receives reassigned benefits from 185 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsville, MI; Ludington, MI; Grant, MI; Hesperia, MI; Hart, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 1080000028 MI Yes

Addresses

Primary practice location

1 N Atkinson Dr
Ludington, MI 49431-1906

Mailing address

1 N Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 845-2591

Other names

  • Spectrum Health Ludington Hospital Doing business as

Other providers in Ludington, MI

All providers in Ludington, MI · Psychiatric Hospital Unit in Michigan

Sources for this page

Verify at the official NPI Registry.