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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1336422948


NPI Information

NPI: 1336422948
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 23D2297151

Address:
75 SHELDON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-6120
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is an addiction medicine internal medicine in Grand Rapids, MI. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1336422948. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Corewell Health Medical Group West.

The provider's business location address is:

75 SHELDON AVE SE
GRAND RAPIDS, MI
ZIP 49503-224
Phone: (616) 391-6120

The provider's authorized official is Leslie Flake .
The authorized official title is Svp Finance and has the following contact phone number (616) 391-2525.

The CLIA number assigned to this NPI record is 23D2297151 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2011 and was last updated on 10/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LA0401XAnesthesiologyAddiction MedicineNo
2207QA0401XFamily MedicineAddiction MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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