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Organization

SPECTRUM HEALTH HOSPITALS

Active
Parent organization
SPECTRUM HEALTH SYSTEM
Other names
Spectrum Health Urgent Care-Plainfield
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
5378 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1053
(616) 391-6230
(616) 391-6237
Mailing address
80 68TH STREET NE, 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
1236640005
DME
MI
Enumeration date
09/21/2006
Last updated
08/20/2007
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