Pine Rest Christian Mental Health Services in Grand Rapids - General Practice
Pine Rest Christian Mental Health Services - NPI 1851309884
Pine Rest Christian Mental Health Services is a General Practice in Grand Rapids, Michigan. Pine Rest Christian Mental Health Services practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pine Rest Christian Mental Health Services is 1851309884. The last update date is 2020-11-04.
Pine Rest Christian Mental Health Services's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Pine Rest Christian Mental Health Services is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Rest Christian Mental Health Services |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Fennema Diane |
| Telephone Number | 6162816372 |
NPI Number Detail
| NPI Number | 1851309884 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identification code issued to Pine Rest Christian Mental Health Services by the Centers for Medicare & Medicaid Services?
The Pine Rest Christian Mental Health Services has been assigned the NPI (National Provider Identifier) 1851309884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Pine Rest Christian Mental Health Services?
The Pine Rest Christian Mental Health Services is physically situated at 300 68Th St Se, in the city of Grand Rapids, state of MI, with the postal code 495486927.
What is Pine Rest Christian Mental Health Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pine Rest Christian Mental Health Services is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
When was the Pine Rest Christian Mental Health Services's 1851309884 issued?
The Pine Rest Christian Mental Health Services's 1851309884 was issued on 2006-08-04.
When was the information pertaining to Pine Rest Christian Mental Health Services most recently updated or revised?
The details related to Pine Rest Christian Mental Health Services, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-04.
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