OrganizationActive
Spectrum Health Hospitals
NPI 1407313802 · Ambulatory Surgical Clinic/Center · Grand Rapids, MI
Provider details
- NPI number
- 1407313802
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elisabeth Lacey, Manager, Enrollment Services(616) 486-6630
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4069 Lake Dr Se Ste 210
Grand Rapids, MI 49546-8816
Phone: (616) 285-1120
Street-level locationGet directions
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Additional practice locations (1)
- 80 68th St SeGrand Rapids, MI 49548-6980Phone: (616) 391-8260
Registry dates
- Enumerated
- 2019-02-22
- Last updated
- 2019-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.