Cristo Rey Community Center

LBN: Cristo Rey Community Center
Cristo Rey Community Center is an health care organization with primary practice located at 1717 N High St , Lansing MI 48906-4529. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Cristo Rey Community Center can be contacted via phone (517) 371-1700, or through Cooke, Peter H via phone (517) 371-1700.

Contact Information

Primary practice address
1717 N High St Lansing MI 48906-4529
Phone: (517) 371-1700
Fax: (517) 371-4245
Website:
Map and Directions
Authorized official contact:
Name: Cooke, Peter H Doctor of Medicine (MD)
Phone: (517) 371-1700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X SL037010 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X PC049423 Michigan

Profile Details

NPI number 1407800931
LBN Legal business name Cristo Rey Community Center
DBA Doing business as
Authorized official Cooke, Peter H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Jun 25th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407800931 NPPES
Michigan Other 010C362090 BCBS COOKE
Michigan MEDICAID 3148943 BCBS COOKE

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