Spectrum Health Rehab & Nursing Center Fuller
LBN: Spectrum Health Kent Community Campus
Spectrum Health Rehab & Nursing Center Fuller is an health care organization with primary practice located at 750 Fuller Ave Ne , Grand Rapids MI 49503-1918. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 413090 | Michigan |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 413090 | Michigan |
Profile Details
| NPI number | 1740264522 |
|---|---|
| LBN Legal business name | Spectrum Health Kent Community Campus |
| DBA Doing business as | Spectrum Health Rehab & Nursing Center Fuller |
| Authorized official | Smith, Kevin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740264522 | NPPES |
| Michigan | Other | 09978 | BCBS |
| Michigan | MEDICAID | 624151184 | BCBS |
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