| NPI | 1962494120 |
|---|---|
| Doing Business As | COREWELL HEALTH GRAND RAPIDS HOSPITALS PEDIATRIC DIALYSIS |
| Doing Business As | DEVOS CHILDRENS HOSPITAL END STAGE RENAL DISEASE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW E COX Vice President Of Finance 616-391-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MI 410040) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MI 410040) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2023-10-16 |