Mecosta County Medical Center
Organization Active NPI Cardiovascular Disease Physician · Big Rapids, MI
NPI 1386693471 · NPPES record last updated Sep 25, 2013
Key facts
- NPI
- 1386693471
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- MECOSTA COUNTY MEDICAL CENTER
- Practice address
- 605 Oak St
Big Rapids, MI 49307-2048 - Phone
- (231) 592-4407
- Fax
- (231) 592-4494
- NPI assigned
- May 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Thomas Daugherty
- Title
- Ceo
- Phone
- (231) 592-4407
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 5
Practitioners 202
-
Ruth Ann Bruce, D.O.
-
Melissa Ann Deniel, M.D.
-
Uma E Erard, DO
-
Sara Jean Fritch, PA-C
-
Mark E Haan, MD
-
Angela Marie Heard, FNP-C
-
Kory Kropman, M.D.
-
Peter A Macdonald, M.D.
-
Gregg Thomas Malicke, D.O.
-
Christa Lynn Mohr, WHNP
-
Tara Lynn Myaard, DO
-
Katie Marie Piippo, FNP
-
Lisa Marie Price, D.O.
-
Matthew Joseph Rausch, M.D.
-
Max Rizer, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000335 | MI | Part B Supplier - Clinic/Group Practice | 1951215540 |
Receives reassigned benefits from 190 practitioners 4 other NPIs on this enrollment Practice locations: Big Rapids, MI; Canadian Lakes, MI; Evart, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
605 Oak St
Big Rapids, MI 49307-2048
Mailing address
605 Oak St
Big Rapids, MI 49307-2048
Phone (231) 592-4407
Other names
- Spectrum Health Big Rapids Hospital
Other providers in Big Rapids, MI
- Mecosta County Medical Center
- Mecosta County Medical Center
- Mecosta County Medical Center
- Mecosta County Medical Center
- Mecosta County Medical Center
- 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 · Cardiovascular Disease Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.