Active NPI
Spectrum Transportion of Grand Rapids
- Driver
- Ada, MI
National Provider Identifier
1467099267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Legal business name
- SPECTRUM TRANSPORTION OF GRAND RAPIDS
- Practice address
- 7700 Fox Haven CT SE
Ada, MI 49301-8637 - Phone
- (616) 437-2572
- NPI assigned
- Nov 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward L Bates
- Title
- Owner
- Phone
- (616) 437-2572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
7700 Fox Haven CT SE
Ada, MI 49301-8637
Mailing address
7700 Fox Haven CT SE
Ada, MI 49301-8637
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575072000000",
"number": "1467099267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 FOX HAVEN CT SE",
"city": "ADA",
"state": "MI",
"postal_code": "493018637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 FOX HAVEN CT SE",
"city": "ADA",
"state": "MI",
"postal_code": "493018637",
"telephone_number": "616-437-2572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM TRANSPORTION OF GRAND RAPIDS",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-30",
"last_updated": "2019-11-30",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-437-2572",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, MI
- Brian Douglas Smith
- Kurtis A Smitko
- SMW Care Services, LLC (Ada Grace)
- Sound Mind Psychotherapy PLLC
- Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
- Cristina Eleonora Stauffer, MSW, LMSW
- Jennifer Lynn Stecco, LMSW
- Allison Leigh Stevens, M.A., L.L.P.
- Thomas Richard Stewart, MA, LLP
- Allison Stone
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.