Organization
SPECTRUM HEALTH - KENT COMMUNITY CAMPUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R DAVIDSON (CFO SPECTRUM HEALTH CONTINUING CARE)
(616) 486-2405
Entity
Organization
Contact information
Practice address
750 FULLER AVE NE MC 160, GRAND RAPIDS, MI 49503-1918
(616) 643-9083
(616) 643-9060
Mailing address
750 FULLER AVE NE MC 160, GRAND RAPIDS, MI 49503-1918
(616) 643-9083
(616) 643-9060
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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