SPECTRUM HEALTH MEDICAL GROUP
NPI 1033774054
Assisted Living Facility in Jenison, MI

Q: What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 06, 2019

1725 PORT SHELDON ST, JENISON, MI 49428(616) 267-7668(616) 667-1722 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 30, 2023, Feb 25, 2021, Jun 19, 2019 and 1 more (4 updates tracked since 2019).

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About Spectrum Health Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECTRUM HEALTH MEDICAL GROUP (NPI 1033774054) is a healthcare organization registered as an assisted living facility in Jenison, Michigan and active in the NPI registry since May 2019. The organization lists Leslie Flake, Svp Finance, as its authorized official.

NPPES Registry Identity

NPI1033774054

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address1725 PORT SHELDON STJenison, MI 49428-9002

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-7668

Fax(616) 667-1722

Organization SubpartYes

Authorized OfficialLeslie FlakeSvp Finance · (616) 486-6545

Enumeration DateMay 6, 2019

Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1033774054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

1725 PORT SHELDON ST, Jenison, MI 49428

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Other Names 2

Doing Business AsSpectrum Health Medical Group

Doing Business AsCorewell Health Medical Group West

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spectrum Health Primary Care Partners's NPI number?

The NPI number for Spectrum Health Primary Care Partners is 1033774054. It was assigned to this organization in the NPPES registry on May 6, 2019. The provider is doing business as Spectrum Health Medical Group and Corewell Health Medical Group West.

Where is Spectrum Health Primary Care Partners located?

Spectrum Health Primary Care Partners is located at 1725 Port Sheldon St, Jenison, MI 49428. The listed phone number is (616) 267-7668.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Spectrum Health Primary Care Partners was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.