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 700 Fuller Ave Ne , Grand Rapids MI 49503-1918. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is the primary health care specialty. Spectrum Health Primary Care Partners can be contacted via phone (616) 365-2310, or through Krywanski, Polly via phone (616) 486-2253.

Contact Information

Primary practice address
700 Fuller Ave Ne Grand Rapids MI 49503-1918
Phone: (616) 365-2310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krywanski, Polly
Phone: (616) 486-2253

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X

Profile Details

NPI number 1578860912
LBN Legal business name Spectrum Health Primary Care Partners
DBA Doing business as Corewell Health Medical Group West
Authorized official Krywanski, Polly
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 22nd, 2011
Last updated Oct 31st, 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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