Corewell Health Grand Rapids Hospitals Pediatric Dialysis
LBN: Spectrum Health Hospitals
Corewell Health Grand Rapids Hospitals Pediatric Dialysis is an health care organization with primary practice located at 35 Michigan St Ne , Grand Rapids MI 49503-2514. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment. Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment is the primary health care specialty.
Spectrum Health Hospitals can be contacted via phone (616) 391-9000, or through Cox, Matthew E via phone (616) 391-1663.
Contact Information
Primary practice address
35 Michigan St Ne
Grand Rapids MI 49503-2514
Phone: (616) 391-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 410040 | Michigan |
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 410040 | Michigan |
Profile Details
| NPI number | 1962494120 |
|---|---|
| LBN Legal business name | Spectrum Health Hospitals |
| DBA Doing business as | Corewell Health Grand Rapids Hospitals Pediatric Dialysis |
| Authorized official | Cox, Matthew E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Oct 16th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962494120 | NPPES |
| Michigan | MEDICAID | 4695800 |
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