SPECTRUM HEALTH SURGICAL CENTER - SOUTH PAVILION
NPI 1275529562
Clinic/Center - Ambulatory Surgical in Grand Rapids, MI

Active since September 22, 2005
80 68TH ST SE, GRAND RAPIDS, MI 49548(616) 391-8260 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spectrum Health Surgical Center - South Pavilion NPPES

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

SPECTRUM HEALTH SURGICAL CENTER - SOUTH PAVILION (NPI 1275529562) is a healthcare organization registered as an ambulatory surgical in Grand Rapids, Michigan and active in the NPI registry since September 2005. The organization lists Douglas D Welday, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1275529562
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPECTRUM HEALTH HOSPITALS
Location Address80 68TH ST SEGrand Rapids, MI 49548-6980
Mailing Address100 Michigan St Ne, Mc 406Grand Rapids, MI 49503-2560 · (616) 391-1774 · Fax (616) 774-7699
Organization SubpartNo
Authorized OfficialDouglas D WeldayVp Finance · (616) 391-2525
Enumeration DateSeptember 22, 2005
Last NPPES UpdateDecember 3, 2015
NPI 1275529562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MI · 416822
80 68TH ST SE, Grand Rapids, MI 49548

Other Names 1

Doing Business AsSpectrum Health Surgical Center - South Pavilion

Other Identifiers 3

Medicaid5170225MI
Medicare PIN230038MI
Other40072MI · Blue Cross

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.

Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548

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 1275529562. It was assigned to this organization in the NPPES registry on September 22, 2005. The provider is doing business as Spectrum Health Surgical Center - South Pavilion.

Where is Spectrum Health Hospitals located?

Spectrum Health Hospitals is located at 80 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 391-8260.

What is Spectrum Health Hospitals's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Spectrum Health Hospitals was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.