NPIMap

Organization Active NPI

Reed City Hospital Corporation

Doing business as CHRCH Susan P Wheatlake Cancer Center

  • Hematology & Oncology Physician
  • Reed City, MI
National Provider Identifier
1053548180
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
670021 Issued in MI
Legal business name
REED CITY HOSPITAL CORPORATION
Doing business as
CHRCH Susan P Wheatlake Cancer Center
Spectrum Health Reed City
Practice address
4499 220TH Ave
Reed City, MI 49677-8593
Phone
(231) 832-5817
NPI assigned
Jun 16, 2009
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Thoms Knoerl
Title
Cfo
Phone
(231) 832-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 670021 MI Primary

Addresses

Primary practice location

4499 220TH Ave
Reed City, MI 49677-8593

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

Other names 2

  • CHRCH Susan P Wheatlake Cancer Center Doing business as
  • Spectrum Health Reed City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reed City Hospital Corporation7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4499 220th Ave
Reed City, MI 49677
Phone (231) 832-5817

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1053548180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 220TH AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496778593",
            "telephone_number": "231-832-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED CITY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "KNOERL",
        "authorized_official_first_name": "THOMS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "231-832-7177"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "670021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRCH Susan P Wheatlake Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Health Reed City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Health Reed City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reed City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.