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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1730773391


NPI Information

NPI: 1730773391
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST

Classification: Social Worker - 104100000X
Entity Type: Organization

CLIA Number: 23D0695193

Address:
6170 VALLEY LANE DR SE
KENTWOOD, MI
ZIP 49508
Phone: (616) 754-6185
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is a social worker in Kentwood, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1730773391. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Corewell Health Medical Group West.

The provider's business location address is:

6170 VALLEY LANE DR SE
KENTWOOD, MI
ZIP 49508-658
Phone: (616) 754-6185

The provider's authorized official is Elisabeth Lacey .
The authorized official title is Credentialing Manager and has the following contact phone number (616) 486-6630.

The CLIA number assigned to this NPI record is 23D0695193 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2021 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
1207Q00000XFamily MedicineNo
2363L00000XNurse PractitionerNo
3104100000XSocial WorkerYes

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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