| Spectrum Health Medical Group | |
|
1009 W Green St Hastings MI 49058-1710 | |
| (269) 798-6762 | |
| Not Available |
| Full Name | Spectrum Health Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1009 W Green St, Hastings, Michigan |
| Authorized Official Name and Position | Leisa Kimbrough (SEN DIRECTOR REVUNE CYCLE) |
| Authorized Official Contact | 6164866579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Medical Group 100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Spectrum Health Medical Group 1009 W Green St Hastings MI 49058-1710 Ph: (269) 798-6762 |
| NPI Number | 1134668015 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134668015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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