Spectrum Health Surgical Center - South Pavilion

LBN: Spectrum Health Hospitals
Spectrum Health Surgical Center - South Pavilion is an health care organization with primary practice located at 80 68Th St Se , Grand Rapids MI 49548-6980. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Spectrum Health Hospitals can be contacted via phone (616) 391-8260, or through Welday, Douglas D via phone (616) 391-2525.

Contact Information

Primary practice address
80 68Th St Se Grand Rapids MI 49548-6980
Phone: (616) 391-8260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Welday, Douglas D
Phone: (616) 391-2525

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 416822 Michigan

Profile Details

NPI number 1275529562
LBN Legal business name Spectrum Health Hospitals
DBA Doing business as Spectrum Health Surgical Center - South Pavilion
Authorized official Welday, Douglas D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 3rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275529562 NPPES
Michigan Other 40072 BLUE CROSS
Michigan MEDICAID 5170225 BLUE CROSS

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