Spectrum Health Medical Group
LBN: Spectrum Health Primary Care Partners
Spectrum Health Medical Group is an health care organization with primary practice located at 4444 Kalamazoo Ave Se Suite 104, Grand Rapids MI 49508-4600. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as the primary health care specialty.
Spectrum Health Primary Care Partners can be contacted via phone (616) 391-3302, or through Tucci, James via phone (616) 391-2062.
Contact Information
Primary practice address
4444 Kalamazoo Ave Se Suite 104
Grand Rapids MI 49508-4600
Phone: (616) 391-3302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 4704173499 | Michigan |
Profile Details
| NPI number | 1023259249 |
|---|---|
| LBN Legal business name | Spectrum Health Primary Care Partners |
| DBA Doing business as | Spectrum Health Medical Group |
| Authorized official | Tucci, James |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 18th, 2009 |
| Last updated | Dec 14th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023259249 | NPPES |
| Michigan | Other | 420D121610 | BCBS GROUP 420D121610 |
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