| NPI | 1093489460 |
|---|---|
| Doing Business As | CHBRH TM CLINIC BIG RAPIDS HS |
| Doing Business As | SPECTRUM HEALTH BIG RAPIDS HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | ELISABETH LACEY Credentialing Manager 616-486-6630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-08-30 |