Organization
SPECTRUM HEALTH HOSPITALS
Active
Other names
Corewell Health Grand Rapids Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW E COX (CFO)
(616) 391-1663
Entity
Organization
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Mailing address
100 MICHIGAN ST NE, MC 406, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
(616) 774-7699
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
410040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00022
BLUE CROSS
MI
05
—
1556993
—
MI
Enumeration date
08/19/2005
Last updated
11/28/2023
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