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Spectrum Health United

Organization Active NPI Social Worker · Vestaburg, MI

NPI 1336765445 · NPPES record last updated Jun 24, 2020

Key facts

NPI
1336765445
Entity type
Organization (NPI type 2)
Primary specialty
Social Worker 104100000X
Legal business name
SPECTRUM HEALTH UNITED
Practice address
7188 Avenue B
Vestaburg, MI 48891-9502
Phone
(616) 754-6185
NPI assigned
Jun 24, 2020
Organization subpart
Yes
Parent organization (as reported)
SPECTRUM HEALTH UNITED

Authorized official

Name
Elisabeth Lacey
Title
Credentialing MGR
Phone
(616) 486-6630

Corporate family (same tax ID) 39

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

View all 39

Practitioners 1

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

National Provider Directory

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

Locations

7188 Avenue B
Vestaburg, MI 48891

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 104100000X Yes
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

7188 Avenue B
Vestaburg, MI 48891-9502

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other providers in Vestaburg, MI

All providers in Vestaburg, MI · Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.