D.A. Blodgett For Children

LBN: D A Blodgett-St Johns
D.A. Blodgett For Children is an health care organization with primary practice located at 2172 Dean Lake Ave Ne , Grand Rapids MI 49505-4444. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. D A Blodgett-St Johns can be contacted via phone (616) 451-2021, or through Smith, Tammy via phone (616) 451-2021.

Contact Information

Primary practice address
2172 Dean Lake Ave Ne Grand Rapids MI 49505-4444
Phone: (616) 451-2021
Fax: (616) 774-3842
Website:
Map and Directions
Authorized official contact:
Name: Smith, Tammy
Phone: (616) 451-2021

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CB410201088 Michigan

Profile Details

NPI number 1801929435
LBN Legal business name D A Blodgett-St Johns
DBA Doing business as D.A. Blodgett For Children
Authorized official Smith, Tammy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Apr 26th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801929435 NPPES
Michigan MEDICAID 3243343
Michigan MEDICAID 4486650
Michigan MEDICAID 4537919

Popular Providers