SPECTRUM HEALTH HOSPITALS


Address: 80 68th St Se, Grand Rapids, MI 49548-6980
Phone: 6163918260

SPECTRUM HEALTH HOSPITALS (NPI# 1275529562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275529562
Entity Type Organization
Organization Name SPECTRUM HEALTH HOSPITALS
Other Organization Name SPECTRUM HEALTH SURGICAL CENTER - SOUTH PAVILION
Practice Address 80 68th St Se
Grand Rapids
MI 49548-6980
Mailing Address 100 Michigan St Ne
Mc 406
Grand Rapids
MI 49503-2560
Practice Telephone 6163918260
Mailing Telephone 6163911774
Mailing Fax Number 6167747699
Enumeration Date 2005-09-22
Last Update Date 2015-12-03
Authorized Official Name MR. DOUGLAS D WELDAY (VP FINANCE)
Authorized Official Telephone 6163912525
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
416822 MI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 5170225 05
MI BLUE CROSS 40072 01

Other Provider/Organization Names

Other Name Type Code
Spectrum Health Surgical Center - South Pavilion Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407313802 Spectrum Health Hospitals Clinic/Center 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 2019-02-22
1306208244 Spectrum Health Hospitals Pediatrics 217 S Madison, Traverse City, MI 49684 2016-03-21
1922440478 Spectrum Health Hospitals Preventive Medicine 1208 W Oak St, Greenville, MI 48838-2155 2013-07-25
1164665709 Spectrum Health Hospitals Durable Medical Equipment & Medical Supplies 2902 Bradford St. Ne, Grand Rapids, MI 49525-6427 2009-04-13
1114014594 Spectrum Health Hospitals Durable Medical Equipment & Medical Supplies 4100 Lake Drive Se, Suite 100, Grand Rapids, MI 49546-8292 2006-10-06
1447358304 Spectrum Health Hospitals Durable Medical Equipment & Medical Supplies 5378 Plainfield Ave Ne, Grand Rapids, MI 49525-1053 2006-09-21
1255347068 Spectrum Health Hospitals Clinic/Center 973 Ottawa Ave Nw, Attn: Pat Poling, Grand Rapids, MI 49503-1431 2006-08-01
1366438632 Spectrum Health Hospitals Clinic/Center 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 2005-09-22
1962494120 Spectrum Health Hospitals Clinic/Center 35 Michigan St Ne, Grand Rapids, MI 49503-2514 2005-08-15
1609491000 Spectrum Health Hospitals Audiologist-Hearing Aid Fitter 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 2020-06-11

Office Location

Street Address 80 68TH ST SE
City GRAND RAPIDS
State MI
Zip Code 49548-6980

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033746565 Samantha Nicole Lubbers Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2020-03-25
1912531054 Christof Charles Muller Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2020-02-27
1477185718 Austin James Redick Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2020-02-05
1770114266 George Michael Mcconnell Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2020-02-03
1245861251 Holly Elizabeth Mullen Nurse Practitioner 80 68th St Se, Grand Rapids, MI 49548-6980 2020-01-29
1417596008 Jennifer Nicole Lehman Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2019-12-30
1538705660 Mavjuda Saydazamova Nurse Practitioner 80 68th St Se, Grand Rapids, MI 49548-6980 2019-11-25
1396398236 Marlee Jayne Bogema Nurse Practitioner 80 68th St Se, Grand Rapids, MI 49548-6980 2019-07-19
1013472695 Micah Nahum Foster Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2019-02-07
1912470493 Callie Marie Radford Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2019-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205319811 Pooja Patel Social Worker Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 2018-09-10
1063906865 Kimberly Eccher Physician Assistant 300 68th St. Se, Grand Rapids, MI 49548 2018-06-15
1871099481 Baymark of Michigan, Inc. Clinic/Center 5500 Division Avenue Se, Kentwood, MI 49548 2018-04-03
1629507801 Laura Marie Quennoz Psychiatry & Neurology Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 2017-06-09
1821548504 Alison Anderson Technician, Other 103 Roth St Se, Grand Rapids, MI 49548 2016-10-06
1831540152 Jesse Aubil Counselor 264 Montebello St. Se 49548, Grand Rapids, MI 49548 2016-06-28
1306237920 Sarah Benton Social Worker 225 Colrain St Sw, 2, Grand Rapids, MI 49548 2015-02-18
1578996856 Karen Marie Irving Social Worker 3353 Lousma Dr. Se, Wyoming, MI 49548 2013-08-09
1740348044 Robert Kenneth Richmond Preventive Medicine 551 36th Street. Se, Wyoming, MI 49548 2006-12-05
1386738953 Sharita Montiez Hall Social Worker 300 68th Street Se, Grand Rapids, MI 49548 2006-10-03
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407313802 Spectrum Health Hospitals Clinic/Center 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 2019-02-22
1366438632 Spectrum Health Hospitals Clinic/Center 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 2005-09-22
1720530405 Grand Rapids Surgical Suites, Pllc Clinic/Center 2505 E Paris Ave Se, Suite 105, Grand Rapids, MI 49546-2459 2016-10-28
1134363690 Oam Surgery Center At Midtowne, LLC Clinic/Center 555 Midtowne St Ne, Suite 200, Grand Rapids, MI 49503-5729 2009-04-28
1184815417 Grand Rapids Plastic Surgery Plc Clinic/Center 426 Michigan St, Ste 300, Grand Rapids, MI 49503-5609 2007-08-01
1548332976 Plastic Surgery Associates PC Clinic/Center 220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503-2208 2006-11-14
1265487474 Horseshoe Surgery Center, LLC Clinic/Center 1542 Golf Course Rd, Suite 105, Grand Rapids, MN 55744-9603 2006-05-24
1194798959 East Paris Surgical Center, LLC Clinic/Center 1000 E Paris Ave Se, Suite Ll01, Grand Rapids, MI 49546-3680 2006-02-10
1255327540 Spectrum Health Hospitals Clinic/Center 1000 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-3691 2005-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891306114 Spine and Joint Surgical Institute of Michigan, LLC Clinic/Center 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 2020-08-11
1588285050 Hall Road Asc LLC Clinic/Center 11051 Hall Rd Ste 100, Utica, MI 48317-5737 2020-05-06
1235750431 Precision Surgery Center LLC Clinic/Center 22701 Hall Road, Macomb, MI 48042 2020-04-29
1790306991 Grass Lake Surgery Center LLC Clinic/Center 3800 Centennial Blvd, Grass Lake, MI 49240 2020-04-29
1992339147 Movi Asc Management LLC Clinic/Center 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 2020-02-26
1609409929 Firestone Procedure Center LLC Clinic/Center 4520 Firestone St Ste C, Dearborn, MI 48126-4602 2020-02-14
1255972113 Center Health Surgery Center LLC Clinic/Center 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 2019-10-02
1942851639 Northern Michigan Surgical Suites, LLC Clinic/Center 825 Moll Dr, Boyne City, MI 49712-9182 2019-09-24
1699328146 Alliance Surgery Center, LLC Clinic/Center 3663 North Country Drive, Traverse City, MI 49684-4587 2019-07-23
1134685415 Southfield Surgery Center LLC Clinic/Center 26225 Greenfield Road, Southfield, MI 48076-4704 2019-02-12
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Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49548

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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