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

Spectrum Health United

Organization Clinical Social Worker · NPI 1477179711

Spectrum Health United is a Clinical Social Worker in Blanchard, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

1324 N County Line Rd
Blanchard, MI 49310-9303
Phone: (616) 754-6185
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Family Medicine Physician Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1477179711
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Heatlh United
Authorized official Elisabeth Lacey — Credentialing Mgr · (616) 486-6630
Other names Chgvh Tm Clinic Montabella Hs
NPI enumeratedJune 23, 2020
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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