NPIMap

Organization Active NPI

Spectrum Health Hospitals

Doing business as Spectrum Health Urgent Care-West Pavilion

  • Durable Medical Equipment & Medical Supplies
  • Wyoming, MI
National Provider Identifier
1326146283
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPECTRUM HEALTH HOSPITALS
Doing business as
Spectrum Health Urgent Care-West Pavilion
Practice address
6105 Wilson Ave SW
Wyoming, MI 49418
Phone
(616) 486-5000
Fax
(616) 486-5101
NPI assigned
Sep 21, 2006
Organization subpart
Yes
Parent organization
SPECTRUM HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Mr. Marc A Chircop
Title
VP Ambulatory Services
Phone
(616) 391-2796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6105 Wilson Ave SW
Wyoming, MI 49418

Mailing address

80 68TH Street
Grand Rapids, MI 49548-6980
Phone (616) 391-8201

Other identifiers 1

IdentifierTypeStateIssuer
1236640007OtherMIDME

Other names 1

  • Spectrum Health Urgent Care-West Pavilion Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Health DT87 organizations share this tax ID, including this one
Part of
Corewell Health East

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1326146283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 68TH STREET",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495486980",
            "telephone_number": "616-391-8201",
            "fax_number": "616-391-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 WILSON AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-486-5000",
            "fax_number": "616-486-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HEALTH SYSTEM",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "CHIRCOP",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP AMBULATORY SERVICES",
        "authorized_official_telephone_number": "616-391-2796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1236640007",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Health Urgent Care-West Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.