Provider Demographics
NPI:1407090343
Name:RED CITY HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:RED CITY HOSPITAL CORPORATION
Other - Org Name:SPECTRUM HEALTH REED CITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:KNOERL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-832-7177
Mailing Address - Street 1:PO BOX 75
Mailing Address - Street 2:
Mailing Address - City:REED CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49677-0075
Mailing Address - Country:US
Mailing Address - Phone:231-832-3271
Mailing Address - Fax:231-832-5499
Practice Address - Street 1:300 N PATTERSON RD
Practice Address - Street 2:
Practice Address - City:REED CITY
Practice Address - State:MI
Practice Address - Zip Code:49677-8041
Practice Address - Country:US
Practice Address - Phone:231-832-3271
Practice Address - Fax:231-832-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI670021282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1936428Medicaid