SPECTRUM HEALTH KENT COMMUNITY CAMPUS (NPI# 1649255050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649255050 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH KENT COMMUNITY CAMPUS |
| Other Organization Name | SPECTRUM HEALTH SPECIAL CARE HOSPITAL |
| Practice Address |
750 Fuller Ave Ne Grand Rapids MI 49503-1918 |
| Practice Telephone | 6163914200 |
| Practice Fax Number | 6164862419 |
| Mailing Telephone | 6163914200 |
| Mailing Fax Number | 6166439060 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | KEVIN SMITH (VP FINANCE) |
| Authorized Official Telephone | 6164862672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 410090 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 301556966 | 05 | |
| MI | BCBS | 00322 | 01 |
| Other Name | Type Code |
|---|---|
| Spectrum Health Special Care Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548367964 | Spectrum Health Kent Community Campus | Durable Medical Equipment & Medical Supplies | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2006-09-20 |
| 1568440139 | Spectrum Health Kent Community Campus | General Acute Care Hospital | 750 Fuller Ave Ne, Mc 160, Grand Rapids, MI 49503 | 2006-01-04 |
| 1740264522 | Spectrum Health Kent Community Campus | Nursing Facility/Intermediate Care Facility | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2005-12-05 |
| Street Address |
750 FULLER AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225012099 | Spectrum Health Continuing Care | Hospice Care, Community Based | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2005-12-05 |
| 1346744471 | Rachel Victoria Elery | Occupational Therapist | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2018-03-22 |
| 1063915940 | Page Breitfield | Occupational Therapist | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2018-03-16 |
| 1568965721 | Saurabh Bhalla | Physical Therapist | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2018-03-14 |
| 1184127631 | Randy G Meade | Occupational Therapist | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2018-03-12 |
| 1679076350 | Dana Smith | Occupational Therapist | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2018-03-09 |
| 1164924080 | Dawn Newell | Occupational Therapist | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2018-03-07 |
| 1689101784 | Spectrum Health Hospitals | Skilled Nursing Facility | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2017-05-19 |
| 1295127918 | Joann Crumm | Social Worker | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2015-03-04 |
| 1407011935 | Michigan Medical PC | Psychiatry & Neurology | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1174887624 | Grmep | General Acute Care Hospital | 221 Michigan Ne Ste 200a, Grand Rapids, MI 49503 | 2012-06-29 |
| 1043598923 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 200 Jefferson Street Se, Saint Mary's Health Care, Grand Rapids, MI 49503-1770 | 2011-07-27 |
| 1114230307 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 1000 Monroe Ave Northwest, Grand Rapids Medical Education Partners, Grand Rapids, MI 49503-1455 | 2010-07-16 |
| 1184816183 | Saint Mary's Hospital | General Acute Care Hospital | 200 Jefferson Lacks Cancer Center, Grand Rapids, MI 49503 | 2007-08-14 |
| 1831725399 | Spectrum Health Hospital | General Acute Care Hospital | 301 Michigan St Ne, Grand Rapids, MI 49503-3314 | 2020-03-17 |
| 1376095224 | Mercy Health Saint Mary's | General Acute Care Hospital | 200 Jefferson Ave Se, Grand Rapids, MI 49503 | 2016-10-26 |
| 1710241492 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 221 Michigan St Ne Ste 200a, Grand Rapids, MI 49503-2543 | 2012-06-27 |
| 1841503851 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 200 Jefferson Se, Grand Rapids, MI 49503 | 2010-07-19 |
| 1790098846 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 25 Michigan St Ne Ste 2200, Grand Rapids, MI 49503-2526 | 2010-07-19 |
| 1649582248 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 1000 Monroe Ave Nw, Grand Rapids, MI 49503-1455 | 2010-07-12 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on SPECTRUM HEALTH KENT COMMUNITY CAMPUS.
| 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.