Pine Rest Christian Mental Health Services in Grand Rapids - General Practice
Pine Rest Christian Mental Health Services - NPI 1699786335
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 1699786335. 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 | 1699786335 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| 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 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110D148370 | MI | BC/BS INTERNAL MD |
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) 1699786335. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Pine Rest Christian Mental Health Services is geographically located?
The Pine Rest Christian Mental Health Services is physically situated at the following location: 300 68Th St Se, Grand Rapids, MI, 495486927.
What is Pine Rest Christian Mental Health Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pine Rest Christian Mental Health Services is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.
On what date was the 1699786335 assigned to Pine Rest Christian Mental Health Services?
The Pine Rest Christian Mental Health Services was issued its 1699786335 on 2006-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Pine Rest Christian Mental Health Services's information last updated?
The Pine Rest Christian Mental Health Services's information was last updated on 2020-11-04.
NPI Number: 1144225426
Address: 380 E Paseo El Mirador, Palm Springs, CA