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COREWELL HEALTH GRAND RAPIDS HOSPITALS
NPI 1154608115
Pediatrics - Pediatric Hematology-Oncology in Saint Joseph, MI

Active since November 04, 2011CLIA 23D2320972 · Waiver
3950 HOLLYWOOD RD, SUITE 240, SAINT JOSEPH, MI 49085(616) 267-1925(616) 267-1005 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Corewell Health Grand Rapids Hospitals NPPES

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

COREWELL HEALTH GRAND RAPIDS HOSPITALS (NPI 1154608115) is a healthcare organization registered as a pediatric hematology-oncology in Saint Joseph, Michigan and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Thomas Jurries, Director, as its authorized official.

NPPES Registry Identity

NPI1154608115
Entity TypeOrganization
Primary Taxonomy2080P0207X
Legal Business NameSPECTRUM HEALTH HOSPITALS
Location Address3950 HOLLYWOOD RD, SUITE 240Saint Joseph, MI 49085-9159
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 267-1925
Fax(616) 267-1005
Organization SubpartYes
Authorized OfficialThomas JurriesDirector · (616) 486-6790
Enumeration DateNovember 4, 2011
Last NPPES UpdateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
✔ NPI 1154608115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X
3950 HOLLYWOOD RD, Saint Joseph, MI 49085
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Other Names 1

Doing Business AsCorewell Health Grand Rapids Hospitals

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2320972

Corewell Health Grand Rapids Hospitals Pediatric Cancer Hematology 35 Michigan St NE · Grand Rapids, MI
Active · expires Mar 26, 2027
CLIA Number23D2320972
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorBeth A. Kurt
Laboratory Phone(616) 267-1925
Laboratory LocationCorewell Health Grand Rapids Hospitals Pediatric Cancer Hematology 35 Michigan St NE35 Michigan Street NE Floor 2, Grand Rapids, MI 49503
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN T. WOOD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
DR. YU-LAM CHRISTOPHER CHIU M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000
AMENA IQBAL
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1600
LAKESIDE CANCER SPECIALISTS, PLLC
Clinic/Center (Oncology)
3950 HOLLYWOOD RD, SUITE 240
SAINT JOSEPH, MI 49085
Berrien County (269) 428-4411
DR. PHILIP JASHEWAY PT, AT
Physical Therapist
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 556-7150
DR. JOHN L BARD MD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
DR. THOMAS K POW M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000
GREAT LAKES HEART & VASCULAR INSTITUTE, P.C.
Internal Medicine (Cardiovascular Disease)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000

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 Hospitals's NPI number?

The NPI number for Spectrum Health Hospitals is 1154608115. It was assigned to this organization in the NPPES registry on November 4, 2011. The provider is doing business as Corewell Health Grand Rapids Hospitals.

Where is Spectrum Health Hospitals located?

Spectrum Health Hospitals is located at 3950 Hollywood Rd Suite 240, Saint Joseph, MI 49085. The listed phone number is (616) 267-1925.

What is Spectrum Health Hospitals's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Does Spectrum Health Hospitals hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2320972) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spectrum Health Hospitals was last updated on November 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.