Mecosta County Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

540030 Issued in MI

Legal business name

MECOSTA COUNTY MEDICAL CENTER

Practice address

8354 100TH Ave
Suite 3
Canadian Lakes, MI 49346-8344

Phone

(231) 592-4209

Fax

(231) 592-4579

NPI assigned

May 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas Knoerl

Title

VP Finance

Phone

(231) 592-4253

Specialties & licenses 1

Addresses

Other names 1

• Spectrum Health Big Rapids Home Care Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Mecosta

  • Ambulance
  • Big Rapids, MI
  • NPI 1558453845

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paolo Manere Aquino, M.D.

  • Pediatric Cardiology Physician
  • Madera, CA
  • NPI 1154507952
  NPD (past)
• Virinder Kumar Bhardwaj, MD

  • Urology Physician
  • Porterville, CA
  • NPI 1023107794
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1760435317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8354 100TH AVE",
            "address_2": "SUITE 3",
            "city": "CANADIAN LAKES",
            "state": "MI",
            "postal_code": "493468344",
            "telephone_number": "231-592-4209",
            "fax_number": "231-592-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8354 100TH AVE",
            "address_2": "SUITE 3",
            "city": "CANADIAN LAKES",
            "state": "MI",
            "postal_code": "493468344",
            "telephone_number": "231-592-4209",
            "fax_number": "231-592-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECOSTA COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "KNOERL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "231-592-4253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "540030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Health Big Rapids Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neita I Dorais, ANP B-C
• Erin Patrece Dressander, M.P.T.
• Michelle Rose Godfrey, PA-C
• Mecosta County Medical Center
• Mecosta County Medical Center
• Mary Evelyn Miller, O.D.
• Northland Hearing Centers, Inc.
• Alison Scsavnicki

• Home Health Agency in Canadian Lakes, MI
• Providers in Canadian Lakes, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.