Spectrum Health Infusion Pharmacy

LBN: Spectrum Health Continuing Care
Spectrum Health Infusion Pharmacy is an health care organization with primary practice located at 1255 Michigan St Ne , Grand Rapids MI 49503-2001. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Spectrum Health Continuing Care can be contacted via phone (616) 486-3950, or through Guzicki, Mark via phone (616) 486-3955.

Contact Information

Primary practice address
1255 Michigan St Ne Grand Rapids MI 49503-2001
Fax: (616) 486-3940
Website:
Authorized official contact:
Name: Guzicki, Mark Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 5301008849 Michigan
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1508030479
LBN Legal business name Spectrum Health Continuing Care
DBA Doing business as Spectrum Health Infusion Pharmacy
Authorized official Guzicki, Mark Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Oct 19th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508030479 NPPES
Other 2371045 NCPDP PROVIDER IDENTIFICATION NUMBER

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