SPECTRUM HEALTH (NPI# 1356652481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356652481 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH |
| Practice Address |
25850 Brolin Beach Rd Detroit Lakes MN 56501-7978 |
| Practice Telephone | 6129648379 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Authorized Official Name | RACHEL REDIG (MD EMERGENCY MEDICIEN PGY 1 RESIDEN) |
| Authorized Official Telephone | 6129648379 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811983000 | Spectrum Health | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 210, Grand Rapids, MI 49546-8816 | 2005-09-22 |
| 1033505128 | Spectrum Health | Non-Pharmacy Dispensing Site | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2015-04-15 |
| 1205078920 | Spectrum Health | General Acute Care Hospital | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2009-03-26 |
| 1134267867 | Spectrum Health | Chiropractor | 1108 W Parker Rd, Suite 110, Plano, TX 75075-4000 | 2007-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECTRUM HEALTH | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Oregon Corporations, Companies and Business Names | SPECTRUM HEALTH AND WELLNESS, PLLC | 7701 Ne Vancouver Plaza Dr, Vancouver, WA 98662 |
| Washington State Corporations | SPECTRUM HEALTH AND WELLNESS, PLLC | 1848 Nw Sierra Way, Camas, WA 98607-7251 |
| System for Award Management (SAM) Entities | SPECTRUM HEALTH CARE | 1123 Wilkes Blvd Ste 250, Columbia, MO 65201-4774 |
| Colorado Business Entities | Spectrum Health CBD Inc. | 1086 Fontmore Road, Apt. A, Colorado Springs, CO 80904 |
| System for Award Management (SAM) Entities | SPECTRUM HEALTH LAKELAND | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| System for Award Management (SAM) Entities | SPECTRUM HEALTH MEDICAL GROUP | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 |
| System for Award Management (SAM) Entities | SPECTRUM HEALTH POLICY RESEARCH , LLC | 1670 Mckendree Church Rd Ste 60, Lawrenceville, GA 30043-6676 |
| North Carolina Corporations | Spectrum Health Systems Inc. | 3414 Six Forks Road, Raleigh, NC 27609 |
| Virginia Business Entities | Spectrum Health Systems Inc. | 10 Mechanic Street, Suite 302, Worcester, Massachusetts 01608 |
| Street Address |
25850 BROLIN BEACH RD |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-7978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811372360 | Karin Costin | General Acute Care Hospital | 803 E 28th St, Minneapolis, MN 55407 | 2015-07-27 |
| 1619317070 | Allegheny General Hospital | General Acute Care Hospital | 724 4th St Sw, Rochester, MN 55902-2913 | 2013-07-01 |
| 1003196361 | Fairview | General Acute Care Hospital | 21282 Inspiration Ct, Lakeville, MN 55044-6027 | 2011-08-18 |
| 1093960742 | Fairview Health Services | General Acute Care Hospital | 13017 Lakeview Dr, Burnsville, MN 55337-3857 | 2008-11-22 |
| 1144477282 | Allina Home Care Hospice and Palliative Care | General Acute Care Hospital | 1055 Westgate Dr. Suite 100, St. Paul, MN 55114-1451 | 2008-08-20 |
| 1104029388 | Shannon Carl Nelson | General Acute Care Hospital | Highway 1 Box 497, Red Lake, MN 56671 | 2007-06-06 |
| 1356559983 | Rtgmedical | General Acute Care Hospital | 2186 Baneberry Way W, Chanhassen, MN 55317 | 2007-05-18 |
| 1730232307 | Jack Ramon Lees | General Acute Care Hospital | 2146 Lemay Lake Dr, Mendota Heights, MN 55120-1183 | 2007-01-18 |
| 1245349257 | Russell Vincent Luepker | General Acute Care Hospital | 1300 S 2nd St, Suite 300, Minneapolis, MN 55454-1075 | 2006-08-30 |
| 1275642134 | Eleah Medical Center | General Acute Care Hospital | 930 1st St Ne, Elbow Lake, MN 56531-4611 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on SPECTRUM HEALTH.
| 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.