Organization
SPECTRUM HEALTH HOSPITALS
Active
Other names
Spectrum Health Surgical Center - East Paris
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS D WELDAY (VICE PRESIDENT OF FINANCE)
(616) 391-2525
Entity
Organization
Contact information
Practice address
1000 E PARIS AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-3691
(616) 285-1800
Mailing address
100 MICHIGAN ST NE, MC 406, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
(616) 774-7699
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
416820
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40022
BLUE CROSS
MI
05
—
5170255
—
MI
Enumeration date
09/22/2005
Last updated
10/21/2014
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