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Contact Information

SPECTRUM HEALTH WORTH SERVICES
4500 BRETON ROAD SE
GRAND RAPIDS, MI49508
 Phone: 616-391-5722
 Fax: 616-391-5721
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
 

Custodial Care Facility

311Z00000X
Indicates primary specialty

NPI Profile & details for SPECTRUM HEALTH WORTH SERVICES

NPI Number 1184608820
LBN Legal business name SPECTRUM HEALTH WORTH SERVICES
Authorized official LAWRENCE OBERST - (SHCC/DIRECTOR OF FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/06/2005
Last updated 05/10/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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