# SPECTRUM HEALTH UNITED

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECTRUM HEALTH UNITED
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376836221
- **Legal business name:** SPECTRUM HEALTH UNITED
- **Authorized official:** RYAN JOHNSON (VP FINANCE)
- **Authorized official phone:** (616) 225-6310

## Contact information

- **Practice address:** 615 S BOWER ST, GREENVILLE, MI 48838-2614
- **Practice address phone:** (616) 754-4691
- **Mailing address:** 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
- **Mailing address phone:** (616) 486-6790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | MI | Yes |

## Other

- **Enumeration date:** 05/25/2011
- **Last updated:** 12/26/2013