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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1275190456


NPI Information

NPI: 1275190456
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: SPECTRUM HEALTH MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2169938

Address:
5500 CLYDE PARK AVE SW
WYOMING, MI
ZIP 49509
Phone: (616) 486-6790
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is a family medicine in Wyoming, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1275190456. 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:

5500 CLYDE PARK AVE SW
WYOMING, MI
ZIP 49509-525
Phone: (616) 486-6790

The provider's authorized official is Ryan Catignani .
The authorized official title is Vp Finance and has the following contact phone number (947) 522-0008.

The CLIA number assigned to this NPI record is 23D2169938 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 10/26/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily 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: 5/5/2024

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