SPECTRUM HEALTH HOSPITALS (NPI# 1114014594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114014594 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH HOSPITALS |
| Other Organization Name | SPECTRUM HEALTH SLEEP DISORDERS DME |
| Practice Address |
4100 Lake Drive Se Suite 100 Grand Rapids MI 49546-8292 |
| Mailing Address |
100 Michigan St Ne Mc 406 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163913759 |
| Practice Fax Number | 6163913052 |
| Mailing Telephone | 6163911774 |
| Mailing Fax Number | 6163913052 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-12-08 |
| Authorized Official Name | MR. DOUGLAS D WELDAY (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6163911039 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH HOSPITALS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Spectrum Health Sleep Disorders DME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| 1306208244 | Spectrum Health Hospitals | Pediatrics | 217 S Madison, Traverse City, MI 49684 | 2016-03-21 |
| 1922440478 | Spectrum Health Hospitals | Preventive Medicine | 1208 W Oak St, Greenville, MI 48838-2155 | 2013-07-25 |
| 1164665709 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 2902 Bradford St. Ne, Grand Rapids, MI 49525-6427 | 2009-04-13 |
| 1447358304 | Spectrum Health Hospitals | Durable Medical Equipment & Medical Supplies | 5378 Plainfield Ave Ne, Grand Rapids, MI 49525-1053 | 2006-09-21 |
| 1255347068 | Spectrum Health Hospitals | Clinic/Center | 973 Ottawa Ave Nw, Attn: Pat Poling, Grand Rapids, MI 49503-1431 | 2006-08-01 |
| 1275529562 | Spectrum Health Hospitals | Clinic/Center | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2005-09-22 |
| 1366438632 | Spectrum Health Hospitals | Clinic/Center | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2005-09-22 |
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| 1609491000 | Spectrum Health Hospitals | Audiologist-Hearing Aid Fitter | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-06-11 |
| Street Address |
4100 LAKE DRIVE SE SUITE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689232134 | Supersomnia LLC | Durable Medical Equipment & Medical Supplies | 6886 Cascade Rd Se Ste D, Grand Rapids, MI 49546-6879 | 2019-05-30 |
| 1649723263 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 555 Michigan St Ne Ste 100, Grand Rapids, MI 49503-5753 | 2016-08-01 |
| 1285050435 | Grace Audrey Miller | Durable Medical Equipment & Medical Supplies | 2824 Thornapple River Dr Se, Grand Rapids, MI 49546-6844 | 2014-03-12 |
| 1962830794 | Jerry Burgess Mulder | Durable Medical Equipment & Medical Supplies | 426 Michigan St Ne Ste 207, Grand Rapids, MI 49503-5608 | 2013-10-14 |
| 1447504337 | Integrated Sales and Marketing | Durable Medical Equipment & Medical Supplies | 3721 Pine Park Ct Se, Grand Rapids, MI 49546-9129 | 2012-10-31 |
| 1265705198 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 230 Michigan St Ne Ste 200, Grand Rapids, MI 49503 | 2012-02-23 |
| 1912205030 | Begin Healing, Inc | Durable Medical Equipment & Medical Supplies | 2300 Sw 11th St, Grand Rapids, MN 55744-9777 | 2011-03-14 |
| 1861796112 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3590 Plainfield Ave Ne, Grand Rapids, MI 49525-2719 | 2010-12-30 |
| 1811207350 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4085 Burton Se, Suite 102, Grand Rapids, MI 49546 | 2010-10-18 |
| 1184940074 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 5005 Cascade Rd Se Ste C, Grand Rapids, MI 49546-8411 | 2010-04-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on SPECTRUM HEALTH HOSPITALS.
| 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.