Active NPI
Spectrum Health Hospitals
- Durable Medical Equipment & Medical Supplies
- Grand Rapids, MI
National Provider Identifier
1164665709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 410040
- Legal business name
- SPECTRUM HEALTH HOSPITALS
- Practice address
- 2902 Bradford St. NE
Grand Rapids, MI 49525-6427 - Phone
- (616) 391-3759
- Fax
- (616) 391-3052
- NPI assigned
- Apr 13, 2009
- Organization subpart
- Yes
- Parent organization
- SPECTRUM HEALTH HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas D Welday
- Title
- Vice President of Finance
- Phone
- (616) 391-2525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 410040 | MI | Primary |
Addresses
Primary practice location
2902 Bradford St. NE
Grand Rapids, MI 49525-6427
Mailing address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone (616) 391-3759
Other names 1
- Spectrum Health Sleep Disorders Bradford
National Provider Directory
National Provider Directory- Part of
- Grand Rapids Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449532800000",
"number": "1164665709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560",
"telephone_number": "616-391-3759",
"fax_number": "616-391-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 BRADFORD ST. NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256427",
"telephone_number": "616-391-3759",
"fax_number": "616-391-3052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM HEALTH HOSPITALS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPECTRUM HEALTH HOSPITAL",
"enumeration_date": "2009-04-13",
"last_updated": "2015-12-08",
"status": "A",
"authorized_official_last_name": "WELDAY",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "616-391-2525",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "410040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spectrum Health Sleep Disorders Bradford",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.