Spectrum Health Kent Community Campus in Grand Rapids - Skilled Nursing Facility
Spectrum Health Kent Community Campus - NPI 1740264522
Spectrum Health Kent Community Campus is a Skilled Nursing Facility in Grand Rapids, Michigan. Spectrum Health Kent Community Campus practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Spectrum Health Kent Community Campus is 1740264522. The last update date is 2015-03-26.
Spectrum Health Kent Community Campus's current location address is 750 Fuller Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163914200 and fax number 6166439060. The mailing address for Spectrum Health Kent Community Campus is 750 Fuller Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spectrum Health Kent Community Campus |
|---|---|
| Address | 750 Fuller Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6163914200 |
| Fax Number | 6166439060 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP FINANCE |
|---|---|
| Authorized Official Name | Smith Kevin |
| Telephone Number | 6164862672 |
NPI Number Detail
| NPI Number | 1740264522 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2015-03-26 |
Provider Mailing Address Detail
| Address | 750 Fuller Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495031918 |
| Phone Number | 6163914200 |
| Fax Number | 6166439060 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 413090 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9978 | MI | BCBS | |
| 624151184 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Spectrum Health Kent Community Campus by the Centers for Medicare & Medicaid Services?
The Spectrum Health Kent Community Campus has been assigned the NPI (National Provider Identifier) 1740264522. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Spectrum Health Kent Community Campus?
The Spectrum Health Kent Community Campus is situated at 750 Fuller Ave Ne, in the city of Grand Rapids, state of MI, with the zip code 495031918.
What is Spectrum Health Kent Community Campus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Spectrum Health Kent Community Campus is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did the Spectrum Health Kent Community Campus receive the assignment of its 1740264522 from the Centers for Medicare & Medicaid Services?
The Spectrum Health Kent Community Campus was issued its 1740264522 by the Centers for Medicare & Medicaid Services on 2005-12-05.
As of what date were the details pertaining to Spectrum Health Kent Community Campus last refreshed?
The information related to the Spectrum Health Kent Community Campus, including its address, specialty, and other relevant details, was last updated on 2015-03-26.