1275536344 NPI number — ZEELAND COMMUNITY HOSPITAL

Table of content: (NPI 1275536344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275536344 NPI number — ZEELAND COMMUNITY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ZEELAND COMMUNITY HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275536344
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8333 FELCH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ZEELAND
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49464-2608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
616-772-7513
Provider Business Mailing Address Fax Number:
616-748-2840

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8333 FELCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ZEELAND
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49464-2608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-772-7513
Provider Business Practice Location Address Fax Number:
616-748-2840
Provider Enumeration Date:
05/23/2005

Additional Information

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  5301006735 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336I0012X , with the licence number: 5301006735 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2039479 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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