Pine Rest Christian Mental Health Services
LBN: Pine Rest Christian Mental Health Services
Pine Rest Christian Mental Health Services is an health care organization with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Pine Rest Christian Mental Health Services can be contacted via phone (616) 455-5000, or through Fennema, Diane via phone (616) 281-6372.
Contact Information
Primary practice address
300 68Th St Se
Grand Rapids MI 49548-6927
Phone: (616) 455-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1174532147 |
|---|---|
| LBN Legal business name | Pine Rest Christian Mental Health Services |
| DBA Doing business as | |
| Authorized official | Fennema, Diane |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Nov 4th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174532147 | NPPES |
| Michigan | Other | 350D148360 | PEDIATRICS |
| Michigan | Other | P10D11275 | PEDIATRICS |
| Michigan | Other | 260D17625 | PEDIATRICS |
| Michigan | Other | 680D16189 | PEDIATRICS |
| Michigan | Other | 70D16083 | PEDIATRICS |
| Michigan | Other | 110D148370 | PEDIATRICS |
| Michigan | Other | 500D11133 | PEDIATRICS |
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