Pine Rest Christian Mental Health Services in Grand Rapids - Psychiatric/mental Health
Pine Rest Christian Mental Health Services - NPI 1982672762
Pine Rest Christian Mental Health Services is a Psychiatric/mental Health in Grand Rapids, Michigan. Pine Rest Christian Mental Health Services practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Pine Rest Christian Mental Health Services is 1982672762. The last update date is 2020-01-29.
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 6164555270 and fax number 6162816459. 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 | 6164555270 |
| Fax Number | 6162816459 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP CONTRAC |
|---|---|
| Authorized Official Name | Larue Ryan |
| Telephone Number | 6162816373 |
NPI Number Detail
| NPI Number | 1982672762 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2020-01-29 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555270 |
| Fax Number | 6162816459 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290 | MI | BC/BS | |
| 1556812 | MI | -- |
Post Comment/ Review Below
What is the Pine Rest Christian Mental Health Services's 1982672762?
The Pine Rest Christian Mental Health Services's NPI (National Provider Identifier) Number is 1982672762. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pine Rest Christian Mental Health Services located?
The Pine Rest Christian Mental Health Services is located at 300 68Th St Se, Grand Rapids, MI 495486927.
When was the Pine Rest Christian Mental Health Services's 1982672762 issued?
The Pine Rest Christian Mental Health Services's 1982672762 was issued on 2006-03-09.
On what date did the Centers for Medicare & Medicaid Services issue the 1982672762 to Pine Rest Christian Mental Health Services?
The Pine Rest Christian Mental Health Services received its 1982672762 assignment from the Centers for Medicare & Medicaid Services on 2006-03-09.
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 2020-01-29.