Mecosta County Medical Center

NPI #1326610817 in Evart, Michigan

Provider Information

NPI Number: 1326610817
Entity Type: Organization
Organization Name: Mecosta County Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: MECOSTA COUNTY MEDICAL CENTER
Primary Specialty: Social Worker
Enumeration Date: Jul 14, 2021
Last Updated: Aug 30, 2023

Practice Location

Address: 6221 95TH AVE
City: Evart
State: Michigan
ZIP Code: 49631-8455
Phone: (616) 754-6185

Authorized Official

Name: ELISABETH LACEY
Title: CREDENTIALING MANAGER
Phone: (616) 486-6630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Social Worker	104100000X	Primary

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