SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1457850802

NPI Information

  • NPI: 1457850802
  • Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D0379521
  • Address: 4075 32ND AVE
    HUDSONVILLE, MI
    ZIP 49426
  • Phone: (616) 486-6100

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NPI Details

SPECTRUM HEALTH PRIMARY CARE PARTNERS is a family medicine in Hudsonville, 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 1457850802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4075 32ND AVE
HUDSONVILLE, MI
ZIP 49426
Phone: (616) 486-6100

The provider's authorized official is David Ottenbaker .
The authorized official title is Associate Cheif Medical Officer and has the following contact phone number (616) 486-6686.

The CLIA number assigned to this NPI record is 23D0379521 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/12/2018 and was last updated on 2/12/2018.

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
1207Q00000XFamily MedicineYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo

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: 3/30/2025

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