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SPECTRUM HEALTH KENT COMMUNITY CAMPUS NPI 1568440139


NPI Information

NPI: 1568440139
Provider Name: SPECTRUM HEALTH KENT COMMUNITY CAMPUS

Doing Business As: SPECTRUM HEALTH SPECIAL CARE HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
750 FULLER AVE NE
MC 160
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 486-2411
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SPECTRUM HEALTH KENT COMMUNITY CAMPUS is a general acute care hospital in Grand Rapids, MI. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. SPECTRUM HEALTH KENT COMMUNITY CAMPUS NPI is 1568440139. The provider is registered as an organization entity type.
The provider Is Doing Business As Spectrum Health Special Care Hospital.

The provider's business location address is:

750 FULLER AVE NE
MC 160
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 486-2411
Fax: (616) 486-2419

The provider's authorized official is Lawrence J Oberst .
The authorized official title is Shcc/director Of Finance and has the following contact phone number (616) 486-2405.

The enumeration date for this NPI number is 1/4/2006 and was last updated on 7/6/2010.


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
1282N00000XGeneral Acute Care Hospital410090MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1232029MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
200322OTHERMICHIGANBCBS
3405170970MEDICAIDMICHIGAN

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: 11/14/2023

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