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 4069 Lake Dive Se Suite 314, Grand Rapids MI 49546. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Spectrum Health Primary Care Partners can be contacted via phone (616) 284-8870, or through Krywanski, Pauline via phone (616) 486-2253.

Contact Information

Primary practice address
4069 Lake Dive Se Suite 314 Grand Rapids MI 49546
Phone: (616) 284-8870
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krywanski, Pauline
Phone: (616) 486-2253

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X

Profile Details

NPI number 1619286663
LBN Legal business name Spectrum Health Primary Care Partners
DBA Doing business as Corewell Health Medical Group West
Authorized official Krywanski, Pauline
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 24th, 2010
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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