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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1033774054


NPI Information

NPI: 1033774054
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: SPECTRUM HEALTH MEDICAL GROUP

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

CLIA Number: 23D1106002

Address:
1725 PORT SHELDON ST
JENISON, MI
ZIP 49428
Phone: (616) 267-7668
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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 1033774054. 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:

1725 PORT SHELDON ST
JENISON, MI
ZIP 49428-002
Phone: (616) 267-7668
Fax: (616) 667-1722

The provider's authorized official is Leslie Flake .
The authorized official title is Svp Finance and has the following contact phone number (616) 486-6545.

The CLIA number assigned to this NPI record is 23D1106002 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2019 and was last updated on 10/30/2023.


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
1207RG0300XInternal MedicineGeriatric MedicineNo
2207R00000XInternal 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

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.