Spectrum Health Hospitals
Clinic/Center, Ambulatory Surgical in Grand Rapids, MI. Organization (NPI-2).
NPI number1407313802
StatusActive
Last updated in NPPESFeb 22, 2019
Details
- NPI
- 1407313802
- Entity type
- Organization (NPI-2)
- Legal business name
- Spectrum Health Hospitals
- Organization subpart
- No
- Enumeration date
- Feb 22, 2019
- Last updated
- Feb 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
4069 Lake Dr Se Ste 210Grand Rapids, MI 49546-8816
Phone 616-285-1120
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Other practice locations
80 68th St Se
Grand Rapids, MI 49548-6980
Grand Rapids, MI 49548-6980
Phone 616-391-8260
Authorized official
Elisabeth Lacey
Manager, Enrollment Services
6164866630
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