# SPECTRUM HEALTH HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407313802
- **Authorized official:** ELISABETH LACEY (MANAGER, ENROLLMENT SERVICES)
- **Authorized official phone:** (616) 486-6630

## Contact information

- **Practice address:** 4069 LAKE DR SE STE 210, GRAND RAPIDS, MI 49546-8816
- **Practice address phone:** (616) 285-1120
- **Mailing address:** 100 MICHIGAN ST NE \# MC845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2019
- **Last updated:** 02/22/2019