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Organization
SPECTRUM HEALTH UNITED
Active
Organization
SPECTRUM HEALTH UNITED
Active
Parent organization
SPECTRUM HEATLH UNITED
Other names
CHGVH TM Clinic Montabella HS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEATLH UNITED
Authorized official
ELISABETH LACEY (CREDENTIALING MGR)
(616) 486-6630
Entity
Organization
Contact information
Practice address
1324 N COUNTY LINE RD, BLANCHARD, MI 49310-9303
(616) 754-6185
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/23/2020
Last updated
09/05/2023
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