| Organization Name: | SPECTRUM HEATLH KELSEY |
| NPI Number: | 1598909426 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RYAN K JOHNSON (VP, FINANCE) |
| Mailing Address: | 418 Washington St Lakeview |
| State: | MI US |
| Postal Code: | 488509806 |
| Phone Number: | 9893527211 |
| Fax Number: | 6167542735 |
| NPI Enumeration Date: | 04/22/2009 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 490051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |