Organization · Type 2 NPI

Spectrum Health United

Rural Health Clinic/Center · Lake Odessa, MI

NPI number 1912850306 Active

Practice location

4294 Laurel Dr
Lake Odessa, MI 48849-8430

Mailing address

100 Michigan St NE
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

19 other providers at this address

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About NPI 1912850306

Spectrum Health United's National Provider Identifier is 1912850306, issued on Feb 17, 2026. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lake Odessa, MI. The record was last updated on Feb 17, 2026.