MECOSTA COUNTY MEDICAL CENTER
NPI 1003209255
Nurse Practitioner - Family in Big Rapids, MI

NPI Status: Active since March 12, 2015

Contact Information

722 LOCUST ST
BIG RAPIDS, MI
ZIP 49307
Phone: (231) 592-4200

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 23D2231801
  • CLIA Cert. Type: Other - COUNTY JAIL
  • CLIA Exp. Date: 08-05-2025

About MECOSTA COUNTY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Mecosta County Medical Center, a provider established in Big Rapids, Michigan operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1003209255 assigned on March 2015. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Mecosta County Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Diedre Weller (Director Finance)

NPI
1003209255
Provider Name
MECOSTA COUNTY MEDICAL CENTER
Entity Type
Organization
Location Address
722 LOCUST ST BIG RAPIDS, MI 49307
Location Phone
(231) 592-4200
Mailing Address
100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
Mailing Phone
(616) 486-6790
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-12-2015
Last Update Date
03-12-2015
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A nurse practitioner (NP) like Mecosta County Medical Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
2363LX0001XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Obstetrics & Gynecology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIEDRE WELLER

Authorized Official Title
DIRECTOR FINANCE
Authorized Official Phone
(231) 924-1380

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2231801
Facility Type
Other - COUNTY JAIL
Certificate Effective Date
August 06, 2023
Certificate Expiration Date
August 05, 2025
Laboratory Director
MARK DANIELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mecosta County Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MECOSTA COUNTY MEDICAL CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003209255
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20034018210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 4 + 0 + 1 + 8 + 2 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003209255 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932171410 GAIL A DESNOYERS MD
Individual
Obstetrics & Gynecology722 LOCUST ST
BIG RAPIDS, MI 49307
(231) 796-8665
1740252246 FREDERICK C GUENTHER MD
Individual
Obstetrics & Gynecology722 LOCUST ST
BIG RAPIDS, MI 49307
(231) 796-8665
1891075479MECOSTA COUNTY MEDICAL CENTER
Organization
Obstetrics & Gynecology722 LOCUST ST
BIG RAPIDS, MI 49307
(231) 592-4200
1629288386DR. SARA ANN SCHUGARS MD
Individual
Obstetrics & Gynecology (Obstetrics)722 LOCUST ST STE 2
BIG RAPIDS, MI 49307
(231) 592-4200
1427020908 KATHRYN L ANASON MD
Individual
Obstetrics & Gynecology722 LOCUST ST SUITE 2
BIG RAPIDS, MI 49307
(231) 592-4200
1912390592 CHRISTA LYNN MOHR WMNP
Individual
Nurse Practitioner (Women's Health)722 LOCUST ST
BIG RAPIDS, MI 49307
(231) 592-4200
1891109591MECOSTA COUNTY MEDICAL CENTER
Organization
Clinic/Center (Rural Health)722 LOCUST ST STE 2
BIG RAPIDS, MI 49307
(231) 592-4200
1922070408MS. MARCIE L STIEG-WILLIAMS PAC
Individual
Physician Assistant722 LOCUST ST
BIG RAPIDS, MI 49307
(231) 796-8665
1780453977 ABBY VANOTTEREN PA-C
Individual
Physician Assistant722 LOCUST ST
BIG RAPIDS, MI 49307
(231) 592-4200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003209255, enumerated in the NPI registry as an "organization" on March 12, 2015

The provider is located at 722 Locust St Big Rapids, Mi 49307 and the phone number is (231) 592-4200

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider's CLIA number is 23D2231801 for a "other - county jail" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 12, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.