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SPECTRUM HEALTH PRIMARY CARE PARTNER NPI 1336540046


NPI Information

NPI: 1336540046
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNER

Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 23D2142340

Address:
16986 ROBBINS RD
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 486-6790
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SPECTRUM HEALTH PRIMARY CARE PARTNER is a cardiovascular disease internal medicine in Grand Haven, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SPECTRUM HEALTH PRIMARY CARE PARTNER NPI is 1336540046. 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:

16986 ROBBINS RD
GRAND HAVEN, MI
ZIP 49417-795
Phone: (616) 486-6790

The provider's authorized official is Pauline Krywanski .
The authorized official title is Svp Finance and has the following contact phone number (616) 486-2253.

The CLIA number assigned to this NPI record is 23D2142340 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/12/2014 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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

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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