Organization
SPECTRUM HEALTH KENT COMMUNITY CAMPUS
Active
Parent organization
SPECTRUM HEALTH CONTINUING CARE
Other names
Spectrum Health Special Care Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH CONTINUING CARE
Authorized official
MR. LAWRENCE J OBERST (SHCC/DIRECTOR OF FINANCE)
(616) 486-2405
Entity
Organization
Contact information
Practice address
750 FULLER AVE NE, MC 160, GRAND RAPIDS, MI 49503
(616) 486-2411
(616) 486-2419
Mailing address
750 FULLER AVE NE, MC 160, GRAND RAPIDS, MI 49503
(616) 643-9083
(616) 643-9060
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
410090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00322
BCBS
MI
05
—
405170970
—
MI
Enumeration date
01/04/2006
Last updated
07/06/2010
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