Organization
SPECTRUM HEALTH HOSPITALS
Active
Parent organization
SPECTRUM HEALTH SYSTEM
Other names
Spectrum Health Urgent Care-West Pavilion
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH SYSTEM
Authorized official
MR. MARC A CHIRCOP (VP AMBULATORY SERVICES)
(616) 391-2796
Entity
Organization
Contact information
Practice address
6105 WILSON AVE SW, WYOMING, MI 49418
(616) 486-5000
(616) 486-5101
Mailing address
80 68TH STREET, GRAND RAPIDS, MI 49548-6980
(616) 391-8201
(616) 391-8202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1236640007
DME
MI
Enumeration date
09/21/2006
Last updated
08/20/2007
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