Network180

LBN: Kent County Cmh Authority
Network180 is an health care organization with primary practice located at 790 Fuller Ave Ne , Grand Rapids MI 49503-1918. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Kent County Cmh Authority can be contacted via phone (616) 336-3909, or through Ward, William Joseph via phone (616) 855-5201.

Contact Information

Primary practice address
790 Fuller Ave Ne Grand Rapids MI 49503-1918
Phone: (616) 336-3909
Fax: (616) 336-8830
Website:
Map and Directions
Authorized official contact:
Name: Ward, William Joseph
Phone: (616) 855-5201

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1134212442
LBN Legal business name Kent County Cmh Authority
DBA Doing business as Network180
Authorized official Ward, William Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 4th, 2019 - about 5 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 1134212442 NPPES
Michigan MEDICAID 4483602
Michigan MEDICAID 4483587
Michigan MEDICAID 4483611

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