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Organization

SPECTRUM HEALTH HOSPITALS

Active
Parent organization
SPECTRUM HEALTH HOSPITALS
Other names
Corewell Health Grand Rapids Hospitals Professional, Corewell Health Grand Rapids Hospitals
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECTRUM HEALTH HOSPITALS
Authorized official
ELISABETH D LACEY (MANAGER)
(616) 486-6790
Entity
Organization

Contact information

Practice address
100 MICHIGAN ST NE, MC-907, GRAND RAPIDS, MI 49503-2560
(616) 774-7377
Mailing address
PO BOX 2127, GRAND RAPIDS, MI 49501-2127

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MI
207V00000X
Obstetrics & Gynecology Physician
MI
207VM0101X
Maternal & Fetal Medicine Physician
MI
207X00000X
Orthopaedic Surgery Physician
MI
207XP3100X
Pediatric Orthopaedic Surgery Physician
MI
2080A0000X
Pediatric Adolescent Medicine Physician
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
MI
2080P0202X
Pediatric Cardiology Physician
MI
2080P0203X
Pediatric Critical Care Medicine Physician
MI
2080P0205X
Pediatric Endocrinology Physician
MI
2080P0206X
Pediatric Gastroenterology Physician
MI
2080P0207X
Pediatric Hematology & Oncology Physician
MI
2080P0208X
Pediatric Infectious Diseases Physician
MI
2086S0102X
Surgical Critical Care Physician
MI
208M00000X
Hospitalist Physician
Primary
MI

Other

Enumeration date
01/30/2007
Last updated
10/30/2023
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