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General NPI Number Information
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NPI Number | 1609803717
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Entity Type | Organization
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Legal Business Name | IONIA COUNTY MEMORIAL HOSPITAL CORPORATION
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 525 LAFAYETTE ST
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City | IONIA
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State | MI
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Zip | 48846-1836
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Country | US
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Telephone | 616-527-7060
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Fax | 616-527-5731
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Provider Business Mailing Address
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Address Line | PO BOX 13008
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City | LANSING
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State | MI
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Zip | 48901-3008
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Country | US
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Telephone | 616-523-1400
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Fax | 616-527-5731
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | WILLIAM ROESER
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Credential |
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Telephone | 616-527-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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