OrganizationActive
Spectrum Health
NPI 1811983000 · Ambulatory Surgical Clinic/Center · Grand Rapids, MI
Provider details
- NPI number
- 1811983000
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Spectrum Health System
- Organization subpart
- Yes
- Authorized official
- Dougals Welday, Vp Finance(616) 391-2525
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Suite 210
Grand Rapids, MI 49546-8816
Phone: (616) 285-1120
Street-level locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Other names (DBA / former)
- Doing business as
- Spectrum Health- Lake Drive Surgery Center
Registry dates
- Enumerated
- 2005-09-22
- Last updated
- 2014-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.