MEDICARE: SPECTRUM HEALTH CONTINUING CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	413515	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08729	OTHER	MI	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225012099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECTRUM HEALTH CONTINUING CARE

Provider Business Mailing Address
First Line	:	1239 E BELTLINE AVE NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-4501
Country	:	US
Telephone Number	:	616-391-4200
Fax Number	:	616-913-4230

Provider Business Practice Location Address
First Line	:	1239 E BELTLINE AVE NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-4501
Country	:	US
Telephone Number	:	616-391-4200
Fax Number	:	616-391-4230

Authorized Official
Title or Position	:	CFO
Name	:	MATTHEW E COX
Credential	:
Telephone Number	:	616-391-1663

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	05/02/2025

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Directions to “SPECTRUM HEALTH CONTINUING CARE ” Practice Location

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