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SPECTRUM HEALTH HOSPITAL HEMOPHILIA NPI 1336389162


NPI Information

NPI: 1336389162
Provider Name: SPECTRUM HEALTH HOSPITAL HEMOPHILIA

Doing Business As: SHH HEMOPHILIA (& PHARMACY)

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
100 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-1774
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SPECTRUM HEALTH HOSPITAL HEMOPHILIA is a pharmacy in Grand Rapids, MI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SPECTRUM HEALTH HOSPITAL HEMOPHILIA NPI is 1336389162. The provider is registered as an organization entity type.
The provider Is Doing Business As Shh Hemophilia (& Pharmacy).

The provider's business location address is:

100 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503-560
Phone: (616) 391-1774

The provider's authorized official is Knaus J Ronald .
The authorized official title is Corporate Controller and has the following contact phone number (616) 774-7771.

The enumeration date for this NPI number is 3/6/2009 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336H0001XPharmacyHome Infusion Therapy Pharmacy5301003540MICHIGANNo
2333600000XPharmacy5301003540MICHIGANYes

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
1940D121370OTHERMICHIGANBCBS GROUP

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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