# SPECTRUM HEALTH KELSEY HOSP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECTRUM HEALTH KELSEY HOSP
- **Other names:** Spectrum Health Kesley Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710364054
- **Legal business name:** SPECTRUM HEALTH KELSEY HOSP
- **Authorized official:** RYAN JOHNSON (VP - FINANCE)
- **Authorized official phone:** (616) 225-6310

## Contact information

- **Practice address:** 418 WASHINGTON ST, LAKEVIEW, MI 48850-7102
- **Practice address phone:** (616) 225-6838
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
- **Mailing address phone:** (952) 653-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2015
- **Last updated:** 12/16/2015