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COREWELL HEALTH BIG RAPIDS HOSPITAL FAMILY MEDICINE - CANADIAN LAKES
NPI 1477973493
Clinic/Center - Rural Health in Canadian Lakes, MI

Active since April 17, 2014CLIA 23D0947393 · Waiver
8354 100TH AVE STE 1, CANADIAN LAKES, MI 49346(231) 972-6000(231) 972-6003 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, Jul 21, 2022, Jun 8, 2017 and 1 more (4 updates tracked since 2017).

About Corewell Health Big Rapids Hospital Family Medicine - Canadian Lakes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREWELL HEALTH BIG RAPIDS HOSPITAL FAMILY MEDICINE - CANADIAN LAKES (NPI 1477973493) is a healthcare organization registered as a rural health in Canadian Lakes, Michigan and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Amanda Knuth, Controller, as its authorized official.

NPPES Registry Identity

NPI1477973493
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMECOSTA COUNTY MEDICAL CENTER
Location Address8354 100TH AVE STE 1Canadian Lakes, MI 49346-8345
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(231) 972-6000
Fax(231) 972-6003
Organization SubpartNo
Authorized OfficialAmanda KnuthController · (231) 349-1616
Enumeration DateApril 17, 2014
Last NPPES UpdateAugust 22, 20234 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1477973493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
8354 100TH AVE STE 1, Canadian Lakes, MI 49346
Open in Google Maps ↗

Other Names 2

Doing Business AsCorewell Health Big Rapids Hospital Family Medicine - Canadian Lakes
Doing Business AsSpectrum Health Big Rapids Canadian Lakes Family Medicine

Other Identifiers 1

Other23-8667Cms Certification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0947393

Corewell Health Big Rapids Hospital Family Medicine - Canadian Lakes · Big Rapids, MI
Active · expires Dec 31, 2026
CLIA Number23D0947393
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorCharles Madden
Laboratory Phone(231) 972-6000
Laboratory LocationCorewell Health Big Rapids Hospital Family Medicine - Canadian Lakes14755 215th Avenue, Big Rapids, MI 49307
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON SCSAVNICKI
Physician Assistant
8354 100TH AVE STE 1
CANADIAN LAKES, MI 49346
Mecosta County (231) 972-6000
KATIE MARIE PIIPPO FNP
Nurse Practitioner (Family)
8354 100TH AVE STE 1
STANWOOD, MI 49346
Mecosta County (231) 972-6000
TARA LYNN MYAARD DO
Internal Medicine
8354 100TH AVE STE 1
STANWOOD, MI 49346
Mecosta County (231) 972-6000
CHEZLYNN DEE CHINAVARE NP
Nurse Practitioner (Family)
8354 100TH AVE STE 1
STANWOOD, MI 49346
Mecosta County (231) 972-6000
AUDREY JEAN SHAW PA
Physician Assistant
8354 100TH AVE STE 1
STANWOOD, MI 49346
Mecosta County (231) 972-6000
MRS. MICHELLE ROSE GODFREY PA-C
Physician Assistant
8354 100TH AVE STE 1
CANADIAN LAKES, MI 49346
Mecosta County (231) 972-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mecosta County Medical Center's NPI number?

The NPI number for Mecosta County Medical Center is 1477973493. It was assigned to this organization in the NPPES registry on April 17, 2014. The provider is doing business as Corewell Health Big Rapids Hospital Family Medicine - Canadian Lakes and Spectrum Health Big Rapids Canadian Lakes Family Medicine.

Where is Mecosta County Medical Center located?

Mecosta County Medical Center is located at 8354 100th Ave Ste 1, Canadian Lakes, MI 49346. The listed phone number is (231) 972-6000.

What is Mecosta County Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mecosta County Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0947393) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mecosta County Medical Center accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mecosta County Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mecosta County Medical Center was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.