Healthcare Provider Details
I. General information
NPI: 1316266869
Provider Name (Legal Business Name): ARTESIAN SPRINGS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2010
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 W MAIN ST
MARION MI
49665-9239
US
IV. Provider business mailing address
100 WEST MAIN STREET BOX 578
MARION MI
49665-9942
US
V. Phone/Fax
- Phone: 231-743-0150
- Fax: 231-743-0152
- Phone: 231-743-0150
- Fax: 231-743-0152
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
TRICIA
ANN
MCGILLIS
Title or Position: OWNER
Credential: PAC
Phone: 231-743-0150