NPIMap

Organization Active NPI

Spectrum Health United

Doing business as Corewell Health Greenville Hospital Family Medicine - Belding

  • Rural Health Clinic/Center
  • Belding, MI
National Provider Identifier
1306289558
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SPECTRUM HEALTH UNITED
Doing business as
Corewell Health Greenville Hospital Family Medicine - Belding
Spectrum Health United Hospital Belding Family Medicine
Practice address
1227 W State St
Belding, MI 48809-9246
Phone
(616) 794-0940
Fax
(616) 794-2650
NPI assigned
Apr 8, 2013
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECTRUM HEALTH UNITEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

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

Specialties & licenses 3

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

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 names 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306289558. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
1227 W State St
Belding, MI 48809-9246
Related CCNs
230035

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

Other NPIs with the same Medicare PAC ID 6

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1041806Corewell Health Greenville Hospital Family1227 W State Street, Belding, MI 48809Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
United Memorial Hosp Em40 organizations share this tax ID, including this one
Part of
United Memorial Hosp Em

Other organizations with this tax ID 39

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

View all 39

Ownership & related parties

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
OtherPresident 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 OfficerSVP 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

Owners & managing parties with NPI records 11

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

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-LakeviewLakeview, MI, CCN 238647 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 8, 2014

Owned or controlled facilities with NPI records 1

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

  • Spectrum Health United

    dba Corewell Health Greenville Hospital Multispecialty Center - Lakeview

    • Rural Health Clinic/Center
    • Lakeview, MI
    • NPI 1790104206

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1306289558",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W STATE ST",
            "city": "BELDING",
            "state": "MI",
            "postal_code": "488099246",
            "telephone_number": "616-794-0940",
            "fax_number": "616-794-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH UNITED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HEALTH UNITED",
        "enumeration_date": "2013-04-08",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "KNUTH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "231-349-1616"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corewell Health Greenville Hospital Family Medicine - Belding",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Health United Hospital Belding Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belding, MI

Sources for this page

Verify at the official NPI Registry.