Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Assisted Living Facility · Jenison, MI

NPI number 1700441904 Active

Practice location

725 Baldwin St
Jenison, MI 49428-7945

Call (616) 457-2770 Map

Fax (616) 457-7899

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Geriatric Medicine (Internal Medicine) Physician	207RG0300X	None listed
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2 other providers at this address

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NPI record

NPI: 1700441904
Entity type: Organization (Type 2)
Issued: May 3, 2019
Last updated: Oct 31, 2023
Status: Active

Other names

<unavail>
Corewell Health Medical Group West · doing business as
Spectrum Health Medical Group · doing business as
Spectrum Health Medical Group · doing business as

Authorized official

Jeffrey Charles Cave
Director
(616) 486-6715

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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 1700441904

Spectrum Health Primary Care Partners's National Provider Identifier is 1700441904, issued on May 3, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jenison, MI. The record was last updated on Oct 31, 2023.