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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1700441904


NPI Information

NPI: 1700441904
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: SPECTRUM HEALTH MEDICAL GROUP

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D2168433

Address:
725 BALDWIN ST
JENISON, MI
ZIP 49428
Phone: (616) 457-2770
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is an assisted living facility in Jenison, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1700441904. 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:

725 BALDWIN ST
JENISON, MI
ZIP 49428-945
Phone: (616) 457-2770
Fax: (616) 457-7899

The provider's authorized official is Jeffrey Charles Cave .
The authorized official title is Director and has the following contact phone number (616) 486-6715.

The CLIA number assigned to this NPI record is 23D2168433 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2019 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RG0300XInternal MedicineGeriatric MedicineNo
3310400000XAssisted Living FacilityYes

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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