SPECTRUM HEALTH UNITED (NPI# 1104216696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104216696 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH UNITED |
| Practice Address |
9494 Paden Rd Lakeview MI 48850-9167 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 9893525550 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | RYAN JOHNSON (VP FINANCE) |
| Authorized Official Telephone | 6162256310 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH UNITED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1124390505 | Spectrum Health United | Dietitian, Registered | 701 S Greenville West Dr, Greenville, MI 48838-3516 | 2012-02-01 |
| 1457304495 | Spectrum Health United | General Acute Care Hospital | 615 S Bower St, Greenville, MI 48838-2614 | 2006-05-19 |
| 1376169474 | Spectrum Health United | Family Medicine | 21338 Kendaville Rd, Howard City, MI 49329-8751 | 2020-06-24 |
| 1982067047 | Spectrum Health United | Radiology | 705 S Greenville West Dr, Greenville, MI 48838-3556 | 2016-04-05 |
| 1235504770 | Spectrum Health United | Pediatrics | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2015-12-09 |
| 1477927184 | Spectrum Health United | Internal Medicine | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2015-11-18 |
| 1265819502 | Spectrum Health United | Non-Pharmacy Dispensing Site | 615 S Bower St, Greenville, MI 48838-2614 | 2015-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECTRUM HEALTH UNITED MEMORIAL CAMPUS | 615 S Bower St, Greenville, MI 48838-2614 |
| Street Address |
9494 PADEN RD |
| City | LAKEVIEW |
| State | MI |
| Zip Code | 48850-9167 |
| 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 |
| 1902941057 | Spectrum Health Kelsey | Personal Emergency Response Attendant | 418 Washington Ave, Lakeview, MI 48850 | 2007-02-20 |
| 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 |
| Find all providers in zip 48850 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567890 | Mcap Holt Opco LLC | Assisted Living Facility | 4300 Keller Rd, Holt, MI 48842-1268 | 2020-10-27 |
| 1457959363 | Baruch Sls, Inc. | Assisted Living Facility | 3191 M 65, Hale, MI 48739-8512 | 2020-10-13 |
| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
| 1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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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.