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COREWELL HEALTH GRAND RAPIDS HOSPITALS
NPI 1174865380
Internal Medicine in Grand Rapids, MI

Active since March 26, 2013CLIA Certified · 3 labs
5378 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525(616) 391-6230 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: September 20, 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 1174865380) is a healthcare organization registered as an internal medicine in Grand Rapids, Michigan and active in the NPI registry since March 2013. The organization holds 3 active CLIA laboratory certificates and lists Pauline Krywanski, Svp, Finance, as its authorized official.

NPPES Registry Identity

NPI1174865380
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSPECTRUM HEALTH HOSPITALS
Location Address5378 PLAINFIELD AVE NEGrand Rapids, MI 49525-1053
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 391-6230
Organization SubpartYes
Authorized OfficialPauline KrywanskiSvp, Finance · (616) 486-2253
Enumeration DateMarch 26, 2013
Last NPPES UpdateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
✔ NPI 1174865380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
5378 PLAINFIELD AVE NE, Grand Rapids, MI 49525
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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 3

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 23D0907817

Corewell Health Grand Rapids Hospitals Rehabilitation & Nursing Center - 1226 Ceadr St · Grand Rapids, MI
Active · expires Oct 22, 2027
CLIA Number23D0907817
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorJacquelin C. Fuller
Laboratory Phone(616) 267-4221
Laboratory LocationCorewell Health Grand Rapids Hospitals Rehabilitation & Nursing Center - 1226 Ceadr St1226 Cedar St NE, Grand Rapids, MI 49503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2024562

Corewell Health Grand Rapids Hospitals Family Medicine Residency - 275 Michigan St NE · Grand Rapids, MI
Active · expires May 17, 2027
CLIA Number23D2024562
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorHarland T. Holman
Laboratory Phone(616) 267-0800
Laboratory LocationCorewell Health Grand Rapids Hospitals Family Medicine Residency - 275 Michigan St NE275 Michigan St NE Suite 8100, Grand Rapids, MI 49503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0956501

Corewell Health Grand Rapids Hospitals Obstetrics & Gynecology Residency - Barclay · Grand Rapids, MI
Active · expires Jan 28, 2027
CLIA Number23D0956501
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorSejal P. Bennett
Laboratory Phone(616) 391-2160
Laboratory LocationCorewell Health Grand Rapids Hospitals Obstetrics & Gynecology Residency - Barclay330 Barclay Ave NE Suite 304, Grand Rapids, MI 49503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

SPECTRUM HEALTH HOSPITALS
Durable Medical Equipment & Medical Supplies
5378 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 391-6230
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Internal Medicine
5378 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 391-6230

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 1174865380. It was assigned to this organization in the NPPES registry on March 26, 2013. The provider is doing business as Corewell Health Grand Rapids Hospitals.

Where is Spectrum Health Hospitals located?

Spectrum Health Hospitals is located at 5378 Plainfield Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 391-6230.

What is Spectrum Health Hospitals's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Spectrum Health Hospitals hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Spectrum Health Hospitals was last updated on November 2, 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.