Family Outreach Center

LBN: Family Outreach Center
Family Outreach Center is an health care organization with primary practice located at 1939 S Division , Grand Rapids MI 49507. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Family Outreach Center can be contacted via phone (616) 247-3815, or through Chandler, Veneese via phone (616) 247-3815.

Contact Information

Primary practice address
1939 S Division Grand Rapids MI 49507
Phone: (616) 247-3815
Fax: (616) 245-0450
Website:
Map and Directions
Authorized official contact:
Name: Chandler, Veneese
Phone: (616) 247-3815

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1619980927
LBN Legal business name Family Outreach Center
DBA Doing business as
Authorized official Chandler, Veneese
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Mar 8th, 2018 - about 6 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 1619980927 NPPES
Michigan Other 0D16322 MEDICARE ID
Michigan MEDICAID 4483587 MEDICARE ID

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