Kent County Cmh Authority in Grand Rapids - Community/behavioral Health
Kent County Cmh Authority - NPI 1134212442
Kent County Cmh Authority is a Community/behavioral Health in Grand Rapids, Michigan. Kent County Cmh Authority practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Kent County Cmh Authority is 1134212442. The last update date is 2019-10-04.
Kent County Cmh Authority's current location address is 790 Fuller Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163363909 and fax number 6163368830. The mailing address for Kent County Cmh Authority is 790 Fuller Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kent County Cmh Authority |
|---|---|
| Address | 790 Fuller Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6163363909 |
| Fax Number | 6163368830 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Ward Joseph William |
| Telephone Number | 6168555201 |
NPI Number Detail
| NPI Number | 1134212442 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2019-10-04 |
Provider Mailing Address Detail
| Address | 790 Fuller Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495031918 |
| Phone Number | 6163363909 |
| Fax Number | 6163368830 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4483602 | MI | -- | |
| 4483587 | MI | -- | |
| 4483611 | MD | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kent County Cmh Authority by the Centers for Medicare & Medicaid Services?
The Kent County Cmh Authority has been issued the NPI (National Provider Identifier) 1134212442. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kent County Cmh Authority?
The Kent County Cmh Authority is physically situated at 790 Fuller Ave Ne, in the city of Grand Rapids, state of MI, with the postal code 495031918.
What is the area of specialization for Kent County Cmh Authority, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kent County Cmh Authority is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134212442 to Kent County Cmh Authority?
The Kent County Cmh Authority received its 1134212442 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.
When was the information pertaining to Kent County Cmh Authority most recently updated or revised?
The details related to Kent County Cmh Authority, including its address, specialty, and other relevant information, were last updated or revised on 2019-10-04.