Pine Rest Christian Mental Health Services in Grand Rapids - General Practice
Pine Rest Christian Mental Health Services - NPI 1487665428
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 1487665428. 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 | 1487665428 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| 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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Post Comment/ Review Below
What is the unique identifier code issued to Pine Rest Christian Mental Health Services by the Centers for Medicare & Medicaid Services (CMS)?
The Pine Rest Christian Mental Health Services has been assigned the NPI (National Provider Identifier) 1487665428. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
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 specialized field of practice, and what is the corresponding taxonomy classification code?
The Pine Rest Christian Mental Health Services's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
When did Pine Rest Christian Mental Health Services receive its 1487665428 assignment?
The Pine Rest Christian Mental Health Services was assigned its 1487665428 on 2006-08-11, which is the date when this unique identifier was issued to the organization.
As of what date were the Pine Rest Christian Mental Health Services's details last updated?
The information pertaining to the Pine Rest Christian Mental Health Services, including its address, specialty, and other details, was most recently updated on 2020-11-04.