Wedgwood Christian Services in Grand Rapids - Community/behavioral Health
Wedgwood Christian Services - NPI 1215047667
Wedgwood Christian Services is a Community/behavioral Health in Grand Rapids, Michigan. Wedgwood Christian Services practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Wedgwood Christian Services is 1215047667. The last update date is 2023-11-02.
Wedgwood Christian Services's current location address is 3300 36th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169422110 and fax number 6169420589. The mailing address for Wedgwood Christian Services is 3300 36th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wedgwood Christian Services |
|---|---|
| Address | 3300 36th St Se, Grand Rapids, Michigan |
| Phone Number | 6169422110 |
| Fax Number | 6169420589 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gowdy T Daniel |
| Telephone Number | 6169422110 |
NPI Number Detail
| NPI Number | 1215047667 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2023-11-02 |
Provider Mailing Address Detail
| Address | 3300 36th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495122810 |
| Phone Number | 6169422110 |
| Fax Number | 6169420589 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
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 |
|---|---|---|---|
| 1464983 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wedgwood Christian Services by the Centers for Medicare & Medicaid Services?
The Wedgwood Christian Services has been assigned the NPI (National Provider Identifier) 1215047667 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Wedgwood Christian Services is physically located?
The Wedgwood Christian Services is situated at the following address: 3300 36Th St Se, Grand Rapids, MI 495122810.
What is the Wedgwood Christian Services's area of specialization and corresponding taxonomy classification?
The Wedgwood Christian Services's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Wedgwood Christian Services receive its 1215047667 assignment from the Centers for Medicare & Medicaid Services?
The Wedgwood Christian Services was assigned its 1215047667 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information related to Wedgwood Christian Services most recently updated or refreshed?
The details pertaining to the Wedgwood Christian Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-02.
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