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Spectrum Health United

Organization Active NPI Rural Health Clinic/Center · Belding, MI

NPI 1306289558 · NPPES record last updated Aug 23, 2023

Key facts

NPI
1306289558
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
SPECTRUM HEALTH UNITED
Practice address
1227 W State St
Belding, MI 48809-9246
Phone
(616) 794-0940
Fax
(616) 794-2650
NPI assigned
Apr 8, 2013
Organization subpart
Yes
Parent organization (as reported)
SPECTRUM HEALTH UNITED

Authorized official

Name
Amanda Knuth
Title
VP Finance
Phone
(231) 349-1616

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 39

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

View all 39

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 66

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 66

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 90

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1041806Corewell Health Greenville Hospital Family
1227 W State Street, Belding, MI 48809		Certificate of waiverJun 12, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Rural health clinic certification: CCN 238668

Legal name
SPECTRUM HEALTH UNITED
Doing business as
COREWELL HEALTH GREENVILLE HOSPITAL FAMILY MEDICINE-BELDING
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 1, 2014
Last certification
Nov 13, 2024
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Enrollment address
1227 W State St
Belding, MI 48809-9246
Related CCNs
230035

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christina Freese Decker
Individual 		Corporate Director Aug 18, 2020
Other
President and Ceo		 Sep 1, 2018
Talawnda L Bragg
Individual 		Corporate Director Jan 1, 2022
Christopher B Port
Individual 		Corporate Director Aug 18, 2020
Ronald M Hofman
Individual 		Corporate Director Aug 18, 2020
Annica Euurand Waalkes
Individual 		Corporate Director Aug 18, 2020
Teresa Arlene Treiber
Individual 		W-2 Managing Employee Nov 1, 2025
Matthew E Cox
Individual 		Corporate Officer
SVP Chief Finance Officer		 Feb 1, 2022
Operational/Managerial Control Feb 1, 2022
Mark Wilson
Individual 		Corporate Director Aug 18, 2020
Corewell Health
Organization · Grand Rapids, MI
Corporation, Non-profit, Chain home office 		Operational/Managerial Control Sep 1, 2013
Johannie M Torres
Individual 		Corporate Director Aug 18, 2020
Mary Doornbos
Individual 		Corporate Director Aug 18, 2020
Spectrum Health United
Organization · Greenville, MI
Non-profit 		5% Or Greater Direct Ownership Interest Sep 1, 2012 100%
John Buckley
Individual 		Corporate Director Aug 18, 2020
Sam R Watson
Individual 		Corporate Director Aug 18, 2020
Bill P Pink
Individual 		Corporate Director Aug 18, 2020
Simin Beg
Individual 		Corporate Director Aug 18, 2020
Lynnette Ferrell-Robinson
Individual 		Corporate Director Aug 18, 2020
Tamila Marlow
Individual 		W-2 Managing Employee Nov 1, 2025

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corewell Health Greenville Hospital Multispecialty Center-Lakeview
Lakeview, MI · CCN 238647		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 8, 2014

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131210002105 MI Part a Provider - Rural Health Clinic 6305836487 Practice locations: Belding, MI

National Provider Directory

Tax ID family
United Memorial Hosp (40 organizations share this tax ID)
Part of
United Memorial Hosp

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

1227 W State St
Belding, MI 48809-9246

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Other identifiers

IdentifierTypeStateIssuer
238668OtherPTAN

Other names

  • Corewell Health Greenville Hospital Family Medicine - Belding Doing business as
  • Spectrum Health United Hospital Belding Family Medicine Doing business as

Other providers in Belding, MI

All providers in Belding, MI · Rural Health Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.