# SPECTRUM HEALTH HOSPITALS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Spectrum Health Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366438632
- **Authorized official:** MR. DOUGLAS D. WELDAY (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (616) 391-2525

## Contact information

- **Practice address:** 4100 LAKE DR SE, GRAND RAPIDS, MI 49546-8292
- **Practice address phone:** (616) 391-7580
- **Mailing address:** 100 MICHIGAN ST NE, MC 406, GRAND RAPIDS, MI 49503-2560
- **Mailing address phone:** (616) 391-1774
- **Mailing address fax:** (616) 774-7699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 416830 | MI | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 10/21/2014