COREWELL HEALTH LUDINGTON HOSPITAL FAMILY MEDICINE - HESPERIA
NPI 1730642794
Clinic/Center - Rural Health in Hesperia, MI

Active since April 08, 2019CLIA 23D0379369 · Waiver
78 N DIVISION ST, HESPERIA, MI 49421(231) 845-6415 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Apr 8, 2019 (2 updates tracked since 2019).

About Corewell Health Ludington Hospital Family Medicine - Hesperia NPPES

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

COREWELL HEALTH LUDINGTON HOSPITAL FAMILY MEDICINE - HESPERIA (NPI 1730642794) is a healthcare organization registered as a rural health in Hesperia, Michigan and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists John Sella, Controller, as its authorized official.

NPPES Registry Identity

NPI1730642794
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Location Address78 N DIVISION STHesperia, MI 49421-5100
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Organization SubpartNo
Authorized OfficialJohn SellaController · (616) 802-0206
Enumeration DateApril 8, 2019
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1730642794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
78 N DIVISION ST, Hesperia, MI 49421

Other Names 2

Doing Business AsCorewell Health Ludington Hospital Family Medicine - Hesperia
Doing Business AsSpectrum Health Ludington Hospital Family Medicine Hesperia

Accepted 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 23D0379369

Corewell Health Ludington Hospital Family Medicine - Hesperia · Hesperia, MI
Active · expires Jun 8, 2027
CLIA Number23D0379369
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorAmy Sanborn
Laboratory Phone(231) 854-6415
Laboratory LocationCorewell Health Ludington Hospital Family Medicine - Hesperia78 N Division Street, Hesperia, MI 49421
CLIA data matches this NPI record on: Address Name
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.

Nurse Practitioner
78 N DIVISION ST
HESPERIA, MI 49421
Family Medicine
78 N DIVISION ST
HESPERIA, MI 49421
Nurse Practitioner (Family)
78 N DIVISION ST
HESPERIA, MI 49421
Clinic/Center (Rural Health)
78 N DIVISION ST
HESPERIA, MI 49421
Nurse Practitioner (Family)
78 N DIVISION ST
HESPERIA, MI 49421
Physician Assistant
78 N DIVISION ST
HESPERIA, MI 49421

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 Memorial Medical Center Of West Michigan's NPI number?

The NPI number for Memorial Medical Center Of West Michigan is 1730642794. It was assigned to this organization in the NPPES registry on April 8, 2019. The provider is doing business as Corewell Health Ludington Hospital Family Medicine - Hesperia and Spectrum Health Ludington Hospital Family Medicine Hesperia.

Where is Memorial Medical Center Of West Michigan located?

Memorial Medical Center Of West Michigan is located at 78 N Division St, Hesperia, MI 49421. The listed phone number is (231) 845-6415.

What is Memorial Medical Center Of West Michigan's specialty?

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

Does Memorial Medical Center Of West Michigan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0379369) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Medical Center Of West Michigan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Memorial Medical Center Of West Michigan 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 Memorial Medical Center Of West Michigan was last updated on August 23, 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.