| Corewell Health Medical Group West | |
|
65 Ida Red Ave Sparta MI 49345-1735 | |
| (616) 887-0100 | |
| Not Available |
| Full Name | Corewell Health Medical Group West |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 65 Ida Red Ave, Sparta, Michigan |
| Authorized Official Name and Position | Pauline Krywanski (CFO) |
| Authorized Official Contact | 6164862253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corewell Health Medical Group West 100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 Ph: () - | Corewell Health Medical Group West 65 Ida Red Ave Sparta MI 49345-1735 Ph: (616) 887-0100 |
| NPI Number | 1184934226 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184934226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | (* (Not Available)) | Secondary |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 12 Mile Rd Nw, Sparta, MI 49345 Phone: 616-391-8470 | |
Sparta Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 S State St, Sparta, MI 49345 Phone: 616-685-1300 Fax: 616-887-5989 | |
Intercare Community Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 South State Street, Sparta, MI 49345 Phone: 616-887-3800 | |
Michigan Medical Patient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Ida Red Ave, Sparta, MI 49345 Phone: 616-887-8891 | |
Mercy Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 S State St, Sparta, MI 49345 Phone: 616-685-1300 Fax: 616-887-5989 | |
Mercy Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 S State St, Sparta, MI 49345 Phone: 616-685-1300 Fax: 616-887-5989 |