Spectrum Health Special Care Hospital

LBN: Spectrum Health Kent Community Campus
Spectrum Health Special Care Hospital is an health care organization with primary practice located at 750 Fuller Ave Ne , Grand Rapids MI 49503-1918. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Spectrum Health Kent Community Campus can be contacted via phone (616) 391-4200, or through Smith, Kevin via phone (616) 486-2672.

Contact Information

Primary practice address
750 Fuller Ave Ne Grand Rapids MI 49503-1918
Phone: (616) 391-4200
Fax: (616) 486-2419
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kevin
Phone: (616) 486-2672

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 410090 Michigan

Profile Details

NPI number 1649255050
LBN Legal business name Spectrum Health Kent Community Campus
DBA Doing business as Spectrum Health Special Care Hospital
Authorized official Smith, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2005
Last updated Mar 26th, 2015 - about 9 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 1649255050 NPPES
Michigan MEDICAID 301556966
Michigan Other 00322

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