Spectrum Health United
Organization Active NPI Social Worker · Howard City, MI
NPI 1376169474 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1376169474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- Legal business name
- SPECTRUM HEALTH UNITED
- Practice address
- 21338 Kendaville Rd
Howard City, MI 49329-8751 - 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
Practitioners 3
-
Katy Marie Kimble, LMSW
-
James C Vanderlaan, LLMSW
-
Molly Faith Blackburn, LMSW
National Provider Directory
- Tax ID family
- United Memorial Hosp
- Part of
- United Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes | ||
| Family Medicine Physician |
207Q00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
21338 Kendaville Rd
Howard City, MI 49329-8751
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other names
- CHGVH TM Clinic Tri County City HS
Other providers in Howard City, MI
- Select Care Physical Therapy, Inc.
- Carrie Sheppard
- Katelyne Ann Sickelsteel
- Rachel Simpson
- Karen Lee Sivertsen
- Raven Mae Stephens
- Transcend Outdoor Therapy LLC
- Preeti S Vakhariya
- James C Vanderlaan
- Linda Welsh
All providers in Howard City, MI · Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.