Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH HOSPITAL
Other names
SPECTRUM HEALTH MEDICAL GROUP CNP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH HOSPITAL
Authorized official
TUCCI JAMES (PRESIDENT)
(616) 391-2062
Entity
Organization
Contact information
Practice address
3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI 49525-9477
(616) 391-7800
Mailing address
PO BOX 2864, GRAND RAPIDS, MI 49501-2864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D11193
BCBS GROUP PIN
MI
Enumeration date
03/05/2009
Last updated
03/05/2009
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