Spectrum Health Primary Care Partners
Organization Active NPI Emergency Medicine Physician · Grand Rapids, MI
NPI 1194036780 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1194036780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- SPECTRUM HEALTH PRIMARY CARE PARTNERS
- Practice address
- 80 68TH St SE
Grand Rapids, MI 49548-6980 - Phone
- (616) 391-8295
- NPI assigned
- Jun 29, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
- Name
- Pauline Krywanski
- Title
- SVP
- Phone
- (616) 486-2253
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Spectrum Health Partners
- Part of
- Spectrum Health Partners
Locations
80 68th St SE
Ste 201
Grand Rapids, MI 49548
Phone (616) 391-8295
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
80 68TH St SE
Grand Rapids, MI 49548-6980
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790
Other names
- Corewell Health Medical Group West
Other providers in Grand Rapids, MI
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
All providers in Grand Rapids, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.