SPECTRUM HEALTH HOSPITALS
NPI 1407313802
Clinic/Center - Ambulatory Surgical in Grand Rapids, MI

Active since February 22, 2019
4069 LAKE DR SE STE 210, GRAND RAPIDS, MI 49546(616) 285-1120 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Spectrum Health Hospitals NPPES

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

SPECTRUM HEALTH HOSPITALS (NPI 1407313802) is a healthcare organization registered as an ambulatory surgical in Grand Rapids, Michigan and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Grand Rapids and lists Elisabeth Lacey, Manager, Enrollment Services, as its authorized official.

NPPES Registry Identity

NPI1407313802
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPECTRUM HEALTH HOSPITALS
Location Address4069 LAKE DR SE STE 210Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Organization SubpartNo
Authorized OfficialElisabeth LaceyManager, Enrollment Services · (616) 486-6630
Enumeration DateFebruary 22, 2019
NPI 1407313802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4069 LAKE DR SE STE 210, Grand Rapids, MI 49546

Secondary Practice Location 1

Location 180 68th St SEGrand Rapids, MI 49548-6980 · Phone (616) 391-8260

Other Identifiers 2

Other1030000014MI · State Of Mi
Other1030000022MI · State Of Mi

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Anesthetist, Certified Registered
4069 LAKE DR SE STE 210
GRAND RAPIDS, MI 49546

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 1407313802. It was assigned to this organization in the NPPES registry on February 22, 2019.

Where is Spectrum Health Hospitals located?

Spectrum Health Hospitals is located at 4069 Lake Dr SE Ste 210, Grand Rapids, MI 49546. The listed phone number is (616) 285-1120.

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.

What insurance does Spectrum Health Hospitals accept?

Health plans from Priority Health list Spectrum Health Hospitals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spectrum Health Hospitals was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.