Organization
SPECTRUM HEATLH KELSEY
Active
Other names
Kelsey Memorial Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN K JOHNSON (VP, FINANCE)
(616) 225-6310
Entity
Organization
Contact information
Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-9806
(989) 352-7211
(616) 754-2735
Mailing address
418 WASHINGTON ST, LAKEVIEW, MI 48850-9806
(989) 352-7211
(616) 754-2735
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
490051
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5170961
—
MI
Enumeration date
04/22/2009
Last updated
02/18/2014
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