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Organization

SPECTRUM HEALTH KELSEY

Active
Other names
Spectrum Health Kelsey Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN K JOHNSON (VP FINANCE CFO)
(616) 225-6310
Entity
Organization

Contact information

Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-7102
(989) 352-7211
(989) 652-6435
Mailing address
418 WASHINGTON ST, LAKEVIEW, MI 48850-7102
(989) 352-7211

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
490051
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00166
BLUE CROSS
MI
05
301555673
MI
01
425
PRIORITY HEALTH
MI
Enumeration date
06/13/2006
Last updated
01/05/2015
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