| Organization Name: | MECOSTA HEALTH SERVICE, INC. |
| NPI Number: | 1184807174 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE SCHAFER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 650 Linden St Suite 1 Big Rapids |
| State: | MI US |
| Postal Code: | 493071879 |
| Phone Number: | 2317963200 |
| Fax Number: | 2317965562 |
| NPI Enumeration Date: | 12/12/2007 |
| NPI Last Update Date: | 06/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |