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1689650160 NPI number — MEMORIAL MEDICAL CENTER OF WEST MICHIGAN

NPI Number: 1689650160
Health Care Provider/Practitioner: MEMORIAL MEDICAL CENTER OF WEST MICHIGAN

Information about “1689650160” NPI (MEMORIAL MEDICAL CENTER OF WEST MICHIGAN) exists in 1689650160 in HTML format HTML  |  1689650160 in plain Text format TXT  |  1689650160 in PDF (Portable Document Format) PDF  |  1689650160 in an XML format XML  formats.

NPI Number : 1689650160 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689650160",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEMORIAL MEDICAL CENTER OF WEST MICHIGAN",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 N ATKINSON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUDINGTON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49431-1906",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "231-845-2270",
    "MailingAddressFaxNumber": "231-845-2259",
    "FirstLinePracticeLocationAddress": "1N ATKINSON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUDINGTON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49431-1906",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "231-845-2270",
    "PracticeLocationAddressFaxNumber": "231-845-2259",
    "EnumerationDate": "12/16/2005",
    "LastUpdateDate": "07/15/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NELSON",
    "AuthorizedOfficialFirstName": "KERRI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP FINANCE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "231-845-2251",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": "538611",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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