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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1194036780


NPI Information

NPI: 1194036780
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 23D2117430

Address:
80 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 391-8295
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is an emergency medicine in Grand Rapids, MI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1194036780. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

80 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548-980
Phone: (616) 391-8295

The provider's authorized official is Pauline Krywanski .
The authorized official title is Svp and has the following contact phone number (616) 486-2253.

The CLIA number assigned to this NPI record is 23D2117430 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/29/2010 and was last updated on 10/18/2015.


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
1207R00000XInternal MedicineNo
2261QU0200XClinic/CenterUrgent CareNo
3207Q00000XFamily MedicineNo
4207V00000XObstetrics & GynecologyNo
5207P00000XEmergency 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.