Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spectrum Health

Organization Ambulatory Surgical Clinic/Center · NPI 1811983000

Spectrum Health is an Ambulatory Surgical Clinic/Center in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
2

Practice location Address checks out

4069 Lake Dr SE Ste 210
Grand Rapids, MI 49546-8816
Phone: (616) 285-1120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 416835 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1811983000
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health System
Authorized official Dougals Welday — Vp Finance · (616) 391-2525
Other names Spectrum Health- Lake Drive Surgery Center
NPI enumeratedSeptember 22, 2005
Last updated in NPPESJuly 29, 2014
Mailing address100 Michigan St Ne, Mc 406, Grand Rapids, MI 49503-2560

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