Organization
SPECTRUM HEALTH HOSPITAL-CNP
Active
Parent organization
SPECTRUM HEALTH HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH HOSPITAL
Authorized official
BRIAN DESSOY (SENIOR DIRECTOR BSC)
(616) 643-9145
Entity
Organization
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D11130
BCBS GROUP PIN 0D11130
MI
Enumeration date
03/05/2009
Last updated
03/06/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us