| Spectrum Health Medical Group | |
|
475 W Spartan Dr Sparta MI 49345-8734 | |
| (616) 754-6185 | |
| Not Available |
| Full Name | Spectrum Health Medical Group |
|---|---|
| Speciality | Social Worker |
| Location | 475 W Spartan Dr, Sparta, Michigan |
| Authorized Official Name and Position | Elisabeth Lacey (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6164866630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Medical Group 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: () - | Spectrum Health Medical Group 475 W Spartan Dr Sparta MI 49345-8734 Ph: (616) 754-6185 |
| NPI Number | 1922772300 |
|---|---|
| Provider Enumeration Date | 08/09/2021 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922772300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Minnietalks2you Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 168 Maple St, Sparta, MI 49345 Phone: 616-799-4419 Fax: 616-205-5017 | |
Hope Network West Michigan Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 253 W Gardner St, Sparta, MI 49345 Phone: 616-383-1046 | |
Breaking The Links Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Schultz St, Sparta, Mi, Sparta, MI 49345 Phone: 616-745-7389 |