Corewell Health Medical Group West

LBN: Spectrum Health Primary Care Partners
Corewell Health Medical Group West is an health care organization with primary practice located at 1179 E Paris Ave Se Ste. 220, Grand Rapids MI 49546-8371. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Spectrum Health Primary Care Partners can be contacted via phone (616) 454-2004, or through Krywanski, Polly (Pauline) via phone (616) 486-2253.

Contact Information

Primary practice address
1179 E Paris Ave Se Ste. 220 Grand Rapids MI 49546-8371
Phone: (616) 454-2004
Fax: (616) 454-0061
Website:
Map and Directions
Authorized official contact:
Name: Krywanski, Polly (Pauline)
Phone: (616) 486-2253

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1144505058
LBN Legal business name Spectrum Health Primary Care Partners
DBA Doing business as Corewell Health Medical Group West
Authorized official Krywanski, Polly (Pauline)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 12th, 2011
Last updated Oct 27th, 2023 - about last year

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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