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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1740810563


NPI Information

NPI: 1740810563
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: SPECTRUM HEALTH MEDICAL GROUP

Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
435 IONIA AVE SW
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 486-6790
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is a preventive medicine/occupational environmental medicine preventive medicine in Grand Rapids, MI. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1740810563. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spectrum Health Medical Group.

The provider's business location address is:

435 IONIA AVE SW
GRAND RAPIDS, MI
ZIP 49503-161
Phone: (616) 486-6790

The provider's authorized official is Elisabeth Lacey .
The authorized official title is Manager and has the following contact phone number (616) 486-6630.

The enumeration date for this NPI number is 1/21/2020 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
1207Q00000XFamily MedicineNo
22083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental 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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