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Mecosta County Medical Center

Organization Active NPI Family Medicine Physician · Big Rapids, MI

NPI 1982381935 · NPPES record last updated Jun 30, 2023

Key facts

NPI
1982381935
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MECOSTA COUNTY MEDICAL CENTER
Practice address
14755 215TH Ave
Big Rapids, MI 49307-9224
Phone
(231) 796-3200
NPI assigned
Jun 30, 2023
Organization subpart
Yes
Parent organization (as reported)
MECOSTA COUNTY MEDICAL CENTER

Authorized official

Name
Ryan Catignani
Title
VP Provider Services
Phone
(947) 522-0008

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Mecosta Cnty General Hosp (15 organizations share this tax ID)
Part of
Mecosta Cnty General Hosp

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X

Addresses

Primary practice location

14755 215TH Ave
Big Rapids, MI 49307-9224

Mailing address

100 Michigan St NE
Mc845
Grand Rapids, MI 49503
Phone (616) 486-6790

Other names

  • Corewell Health Big Rapids Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2023.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1982381935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14755 215TH AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079224",
            "telephone_number": "231-796-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECOSTA COUNTY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MECOSTA COUNTY MEDICAL CENTER",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "CATIGNANI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "VP PROVIDER SERVICES",
        "authorized_official_telephone_number": "947-522-0008"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corewell Health Big Rapids Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Rapids, MI

All providers in Big Rapids, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.