# SPECTRUM HEALTH PRIMARY CARE PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECTRUM HEALTH HOSPITAL
- **Other names:** SPECTRUM HEALTH MEDICAL GROUP CNP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346480258
- **Legal business name:** SPECTRUM HEALTH HOSPITAL
- **Authorized official:** TUCCI JAMES (PRESIDENT)
- **Authorized official phone:** (616) 391-2062

## Contact information

- **Practice address:** 3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI 49525-9477
- **Practice address phone:** (616) 391-7800
- **Mailing address:** PO BOX 2864, GRAND RAPIDS, MI 49501-2864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 03/05/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0D11193 | BCBS GROUP PIN | MI |