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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1811313026


NPI Information

NPI: 1811313026
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D1086347

Address:
2750 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (877) 362-8362
Get Directions

SPECTRUM HEALTH PRIMARY CARE PARTNERS is a family medicine in Grand Rapids, 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 1811313026. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2750 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (877) 362-8362

The provider's authorized official is Leisa L Kimbrough .
The authorized official title is Senior Director Of Physcian Revenue and has the following contact phone number (616) 486-6579.

The CLIA number assigned to this NPI record is 23D1086347 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 4/19/2017.


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
1103TC0700XPsychologistClinicalNo
21041C0700XSocial WorkerClinicalNo
3207R00000XInternal MedicineNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
62084N0400XPsychiatry & NeurologyNeurologyNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8207Q00000XFamily 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.