SPECTRUM HEALTH KELSEY (NPI# 1053582528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053582528 |
Entity Type | Organization |
Organization Name | SPECTRUM HEALTH KELSEY |
Other Organization Name | SPECTRUM HEALTH KELSEY HOSPITAL |
Practice Address |
418 Washington Ave Lakeview MI 48850-9806 |
Practice Telephone | 9893527211 |
Mailing Telephone | 9893527211 |
Enumeration Date | 2008-03-12 |
Last Update Date | 2014-06-03 |
Authorized Official Name | MR. RYAN K JOHNSON (VP FINANCE) |
Authorized Official Telephone | 6162256310 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
Other Name | Type Code |
---|---|
Spectrum Health Kelsey Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730466822 | Spectrum Health Kelsey | General Practice | 420 S Lincoln St, Lakeview, MI 48850-8500 | 2011-11-03 |
1477846327 | Spectrum Health Kelsey | Registered Nurse | 418 Washington St, Lakeview, MI 48850-9806 | 2011-05-25 |
1144534520 | Spectrum Health Kelsey | Hospitalist | 418 Washington St, Lakeview, MI 48850-9806 | 2010-07-28 |
1356653182 | Spectrum Health Kelsey | Clinic/Center | 418 Washington St, Lakeview, MI 48850-7102 | 2010-07-09 |
1619162617 | Spectrum Health Kelsey | Nursing Facility/Intermediate Care Facility | 418 Washington St, Lakeview, MI 48850-9806 | 2007-09-12 |
1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
1538102173 | Spectrum Health Kelsey | General Acute Care Hospital | 418 Washington St, Lakeview, MI 48850-7102 | 2006-06-13 |
Street Address |
418 WASHINGTON AVE |
City | LAKEVIEW |
State | MI |
Zip Code | 48850-9806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699785717 | Philip E Schumacher | Emergency Medicine | 418 Washington Ave, Lakeview, MI 48850-9806 | 2006-08-09 |
1851513097 | William J Heath | Physician Assistant | 418 Washington Ave, Lakeview, MI 48850-9806 | 2007-05-03 |
1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679110308 | Julie Ann Smith | Pharmacist | 9695 N Greenville Road, Lakeview, MI 48850 | 2019-12-02 |
1891856217 | William James Winget | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2006-12-12 |
1831105618 | Health Visions Quest, Inc. | Physician Assistant | 332 S Lincoln Street, Lakeview, MI 48850 | 2006-07-31 |
1891714879 | Robert Nixon Huttinga | Physician Assistant | 332 S. Lincoln, Lakeview, MI 48850 | 2006-07-19 |
1336114727 | Har Swarup | General Practice | 313 Lincoln Street, Lakeview, MI 48850 | 2006-02-21 |
1710369186 | Trina Hara | Family Medicine | 418 Washington St, Lakeview, MI 48850 | 2015-06-22 |
1124448634 | Naturally Simple, LLC | Advanced Practice Midwife | 332 S Lincoln Ave, Lakeview, MI 48850 | 2014-04-23 |
1871643809 | James Vernon Draper | Dentist | 924 S Lincoln Ave, Lakeview, MI 48850 | 2007-01-11 |
1265548689 | Harry Keith Treiber | Dentist | 412 Lincoln Ave., Lakeview, MI 48850-0080 | 2006-08-21 |
1467566752 | H. Keith Treiber Dds Family Dentistry PC | Dentist | 412 Lincoln Ave, Lakeview, MI 48850-0080 | 2006-08-17 |
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Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710485792 | Deckerville Community Hospital, Inc. | Medicare Defined Swing Bed Unit | 3559 Pine St, Deckerville, MI 48427-7703 | 2018-01-25 |
1154372027 | Bell Memorial Hospital | Medicare Defined Swing Bed Unit | 901 Lakeshore Drive, Ishpeming, MI 49849-1367 | 2006-05-15 |
1699376806 | Huron Memorial Hospital | Medicare Defined Swing Bed Unit | 1100 S Van Dyke Rd, Bad Axe, MI 48413-9615 | 2020-11-04 |
1609366483 | Bellin Health Iron Mountain | Medicare Defined Swing Bed Unit | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-05-16 |
1750894648 | Munising Memorial Hospital Association | Medicare Defined Swing Bed Unit | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2017-11-14 |
1205236973 | David Harley Mccallum | Medicare Defined Swing Bed Unit | 14700 King Rd Ste A, Riverview, MI 48193-7909 | 2014-08-29 |
1821425612 | Portage Hospital LLC | Medicare Defined Swing Bed Unit | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
1760819858 | Acquisition Bell Hospital LLC | Medicare Defined Swing Bed Unit | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2013-10-03 |
1952666141 | Sinai-grace Hosptial,wayne State University/detroit Medical Cente | Medicare Defined Swing Bed Unit | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2012-07-12 |
1730451915 | Three Rivers Health System, Inc | Medicare Defined Swing Bed Unit | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2012-02-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.