NPIMap

Organization Active NPI

Metropolitan Hospital

Doing business as Metro Health Hospital

  • Registered Nurse
  • Grand Rapids, MI
National Provider Identifier
1265587307
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704130108 Issued in MI
Legal business name
METROPOLITAN HOSPITAL
Doing business as
Metro Health Hospital
Practice address
1925 Breton Rd SE
Grand Rapids, MI 49506-4810
Phone
(616) 252-4100
Fax
(616) 252-4953
NPI assigned
Jan 25, 2007
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mr. Timothy Susterich
Title
Chief Financial Officer
Phone
(616) 252-5203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 4704130108 MI Primary

Addresses

Primary practice location

1925 Breton Rd SE
Grand Rapids, MI 49506-4810

Mailing address

1925 Breton Rd SE
Grand Rapids, MI 49506-4810
Phone (616) 252-4100

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherMISOCIAL SECURITY #

Other names 1

  • Metro Health Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Hosp Breto8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1925 Breton Rd SE
Grand Rapids, MI 49506
Phone (616) 252-4100

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1265587307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 BRETON RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064810",
            "telephone_number": "616-252-4100",
            "fax_number": "616-252-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 BRETON RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064810",
            "telephone_number": "616-252-4100",
            "fax_number": "616-252-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "SUSTERICH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "616-252-5203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704130108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY #",
            "identifier": "$$$$$$$$$",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Health Hospital",
            "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 May 21, 2020; 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.