SPECTRUM HEALTH KELSEY (NPI# 1730466822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730466822 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH KELSEY |
| Other Organization Name | LAKEVIEW YOUTH CLINIC |
| Practice Address |
420 S Lincoln St Lakeview MI 48850-8500 |
| Mailing Address |
418 Washington St Lakeview MI 48850-9806 |
| Practice Telephone | 9893521800 |
| Mailing Telephone | 9893526435 |
| Mailing Fax Number | 9893528451 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | DAVID J OEHRING (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6162256411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lakeview Youth Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1053582528 | Spectrum Health Kelsey | Medicare Defined Swing Bed Unit | 418 Washington Ave, Lakeview, MI 48850-9806 | 2008-03-12 |
| 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 |
420 S LINCOLN ST |
| City | LAKEVIEW |
| State | MI |
| Zip Code | 48850-8500 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336114727 | Har Swarup | General Practice | 313 Lincoln Street, Lakeview, MI 48850 | 2006-02-21 |
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| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| 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.