Organization
SPECTRUM HEALTH HOSPITAL
Active
Parent organization
SPECTRUM HEALTH HOSPITAL
Other names
SPECTRUM HEALTH HOSPITAL AUDIOLOGY, Corewell Health Grand Rapids Hospitals Audiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH HOSPITAL
Authorized official
BRADLEY SHER (DIRECTOR)
(616) 486-6653
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
(616) 391-1774
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D12085
BCBS GROUP PIN 0D12085
MI
Enumeration date
03/05/2009
Last updated
10/26/2023
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