SPECTRUM HEALTH GERBER MEMORIAL FAMILY MEDICINE - GRANT
NPI 1013040492
Clinic/Center - Rural Health in Grant, MI

NPI Status: Active since March 14, 2007

Contact Information

230 S MAPLE ST
GRANT, MI
ZIP 49327
Phone: (231) 834-5995
Fax: (231) 834-0248

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 23D0908160
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 08-16-2025

About SPECTRUM HEALTH GERBER MEMORIAL FAMILY MEDICINE - GRANT

This page provides the complete NPI Profile along with additional information for Spectrum Health Gerber Memorial Family Medicine - Grant, a primary care provider established in Grant, Michigan operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1013040492 assigned on March 2007. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Spectrum Health Gerber Memorial Family Medicine - Grant. The authorized official of this NPI record is Randall J Stasik (President)

NPI
1013040492
Provider Legal Name
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
Other Organization Name
SPECTRUM HEALTH GERBER MEMORIAL FAMILY MEDICINE - GRANT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
230 S MAPLE ST GRANT, MI 49327
Location Phone
(231) 834-5995
Location Fax
(231) 834-0248
Mailing Address
100 MICHIGAN ST NE # MC845 GRAND RAPIDS, MI 49503
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2007
Last Update Date
06-03-2016
Code Navigator

A primary care provider (PCP) like Spectrum Health Gerber Memorial Family Medicine - Grant sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDALL J STASIK

Authorized Official Title
PRESIDENT
Authorized Official Phone
(231) 924-1340

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4383367MEDICAID (05)MI 
238572MEDICARE PIN (08)MI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0908160
Facility Type
Rural Health Clinic
Certificate Effective Date
August 17, 2023
Certificate Expiration Date
August 16, 2025
Laboratory Director
JEROD GARDNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Spectrum Health Gerber Memorial Family Medicine - Grant to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SPECTRUM HEALTH GERBER MEMORIAL FAMILY MEDICINE - GRANT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013040492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023040418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 4 + 0 + 4 + 1 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013040492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255664470GERBER MEMORIAL HEALTH SERVICE
Organization
Specialist230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1649660796NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
Organization
Social Worker (Clinical)230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1700804234 KORTNIE A KARP PA-C
Individual
Physician Assistant230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1629099619 WENDY R ALVESTEFFER PA
Individual
Physician Assistant230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1639648579 BREANNA MARIE MANCHIP PA-C
Individual
Physician Assistant230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1821216607DR. MELISSA S BAYNE DO
Individual
Obstetrics & Gynecology230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1710914650MR. ROBERT POEHL PA C
Individual
Physician Assistant230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1225066079DR. ROBERT GUNNELL MD
Individual
Family Medicine (Geriatric Medicine)230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1649923061 JUSTIN WILLIAM HERBY PA-C
Individual
Physician Assistant230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1750391504 JAMES HILBRAND PA
Individual
Physician Assistant (Medical)230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1932662996MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Organization
Clinic/Center (Rural Health)230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1902465743DR. JEROD ROBERT GARDNER DO
Individual
Family Medicine230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995
1154617017 JENNIFER LYNN HUDSON D.O.
Individual
Family Medicine230 S MAPLE ST
GRANT, MI 49327
(231) 834-5995

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013040492, enumerated in the NPI registry as an "organization" on March 14, 2007

The provider is located at 230 S Maple St Grant, Mi 49327 and the phone number is (231) 834-5995

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 23D0908160 for a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.