SPECTRUM HEALTH- LAKE DRIVE SURGERY CENTER
NPI 1811983000
Clinic/Center - Ambulatory Surgical in Grand Rapids, MI
About Spectrum Health- Lake Drive Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPECTRUM HEALTH- LAKE DRIVE SURGERY CENTER (NPI 1811983000) 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 Dougals D Welday, Vp Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
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.
GRAND RAPIDS, MI 49546
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's NPI number?
The NPI number for Spectrum Health is 1811983000. It was assigned to this organization in the NPPES registry on September 22, 2005. The provider is doing business as Spectrum Health- Lake Drive Surgery Center.
Where is Spectrum Health located?
Spectrum Health is located at 4069 Lake Dr SE Suite 210, Grand Rapids, MI 49546. The listed phone number is (616) 285-1120.
What is Spectrum Health'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 was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Spectrum Health- Lake Drive Surgery Center · NPI 1811983000
Ambulatory Surgical organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since September 22, 2005.
## Identity
- **NPI:** 1811983000 (Entity type: Organization)
- **Enumerated:** September 22, 2005
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Spectrum Health
- **Organization subpart:** Yes (part of Spectrum Health System)
- **Authorized official:** Dougals Welday, VP FINANCE
## Practice location
- **Address:** 4069 LAKE DR SE, SUITE 210, Grand Rapids, MI 49546-8816
- **Phone:** (616) 285-1120
## Record status
- **NPPES last updated:** July 29, 2014
- **Other identifiers:** Medicaid 5170255 (MI); Medicare PIN 230038 (MI); Other 41034 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1811983000) · Data from the CMS NPPES public registry.