Organization · Type 2 NPI

Spectrum Health Hospitals

Durable Medical Equipment & Medical Supplies · Grand Rapids, MI

NPI number 1114014594 Active

Practice location

4100 Lake Dr SE Ste 301
Grand Rapids, MI 49546-8292

Call (616) 391-3759 Map

Fax (616) 391-3052

Mailing address

100 Michigan St NE, Mc 485
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Other durable medical equipment & medical supplies providers in Grand Rapids

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NPI record

NPI: 1114014594
Entity type: Organization (Type 2)
Issued: Oct 6, 2006
Last updated: Oct 12, 2026
Status: Active
Subpart: Yes of Corewell Health

Other names

<unavail>
Corewell Health Grand Rapids Hospitals Durable Medical Equip Lake DR · doing business as
Spectrum Health Sleep Disorders Dme · doing business as

Authorized official

Mr. Matthew E Cox
CFO
(616) 295-4264

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114014594

Spectrum Health Hospitals's National Provider Identifier is 1114014594, issued on Oct 6, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 12, 2026.