Spectrum Health Primary Care Partners

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Practice address

35 Michigan St NE
Suite 5101
Grand Rapids, MI 49503-2514

Phone

(616) 267-1030

NPI assigned

Sep 14, 2012

Last updated

Dec 14, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SPECTRUM HEALTH PRIMARY CARE PARTNERSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pauline M Krywanski

Title

SVP-Finance

Phone

(616) 486-2253

Specialties & licenses 1

Addresses

Part of

BMMC Ferguson Clinic

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1013267269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MICHIGAN ST NE",
            "address_2": "SUITE 5101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032514",
            "telephone_number": "616-267-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH PRIMARY CARE PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HEALTH PRIMARY CARE PARTNERS",
        "enumeration_date": "2012-09-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "KRYWANSKI",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP-FINANCE",
        "authorized_official_telephone_number": "616-486-2253"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Health Kent Community Campus (Spectrum Health Special Care Hospital)
• Spectrum Health Kent Community Campus (Spectrum Health Rehab & Nursing Center Fuller)
• Spectrum Health Primary Care Partner
• Spectrum Health Primary Care Partner (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners
• Spectrum Health Primary Care Partners
• Spectrum Health Primary Care Partners (Spectrum Health Medical Group)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West Adult Diabetes Education)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West My Priority Virtual Primary Care)

• Durable Medical Equipment & Medical Supplies in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.