COREWELL HEALTH GRAND RAPIDS HOSPITALS – NPI #1154608115
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

COREWELL HEALTH GRAND RAPIDS HOSPITALS is a provider located in SAINT JOSEPH, MI. NPPES has assigned the NPI number 1154608115 to COREWELL HEALTH GRAND RAPIDS HOSPITALS on November 04, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COREWELL HEALTH GRAND RAPIDS HOSPITALS” is a dba name, the actual legal business name for this organization is SPECTRUM HEALTH HOSPITALS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was previously updated about 3 years ago on Nov 02, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COREWELL HEALTH GRAND RAPIDS HOSPITALS below.

NPI Profile for
SPECTRUM HEALTH HOSPITALS

NPI Number
1154608115
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECTRUM HEALTH HOSPITALS
Doing Business As (dba): COREWELL HEALTH GRAND RAPIDS HOSPITALS
Primary location
3950 HOLLYWOOD RD
SUITE 240
SAINT JOSEPH, MI 49085-9159
Phone: (616) 267-1925 Fax: (616) 267-1005
Mailing address
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS, MI 49503-2560
Phone: Fax:
Organization Subpart
Yes - COREWELL HEALTH GRAND RAPIDS HOSPITALS is subpart of another organization.
Authorized Official
THOMAS JURRIES
DIRECTOR
Phone: (616) 486-6790
Updated
Certification Date
Nov 02, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.