SPECTRUM HEALTH URGENT CARE
NPI 1447685896
Emergency Medicine in Grand Rapids, MI
- Organization
- Emergency Medicine
- CLIA Number: 23D0380296
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-02-2027
About SPECTRUM HEALTH URGENT CARE
This page provides the complete NPI Profile along with additional information for Spectrum Health Urgent Care, a provider established in Grand Rapids, Michigan operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1447685896 assigned on September 2013. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Spectrum Health Urgent Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Spectrum Health Urgent Care. The authorized official of this NPI record is Pauline Krywanski (Svp Finance)
- NPI
- 1447685896 Verify this NPI
- Provider Legal Name
- SPECTRUM HEALTH PRIMARY CARE PARTNERS
- Other Organization Name
- SPECTRUM HEALTH URGENT CARE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2332 ALPINE AVE NW GRAND RAPIDS, MI 49544
- Location Phone
- (616) 391-6220
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-04-2013
- Last Update Date
- 09-04-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0380296
- Facility Type
- Physician Office
- Certificate Effective Date
- June 03, 2025
- Certificate Expiration Date
- June 02, 2027
- Laboratory Director
- LINDA VANDEN BOSCH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Spectrum Health Urgent Care in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447685896, enumerated as an "organization" on September 04, 2013.
The provider is located at 2332 ALPINE AVE NW GRAND RAPIDS, MI 49544 and the phone number is (616) 391-6220.
Emergency Medicine with taxonomy code 207P00000X.
