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 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Hospitals / Psychiatric Hospital, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics 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:
Map and Directions
Authorized official contact:
Name: Fennema, Diane
Phone: (616) 281-6372

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Hospitals / Psychiatric Hospital 283Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1487837506
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 Dec 12th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487837506 NPPES
Michigan Other OD16083 BC/BS PSYCHIATRY-MULTI SP
Michigan Other OD16222 BC/BS PSYCHIATRY-MULTI SP
Michigan Other OD14837 BC/BS PSYCHIATRY-MULTI SP
Michigan Other OD17625 BC/BS PSYCHIATRY-MULTI SP
Michigan Other OD16189 BC/BS PSYCHIATRY-MULTI SP
Michigan Other OD11275 BC/BS PSYCHIATRY-MULTI SP
Michigan Other OD11133 BC/BS PSYCHIATRY-MULTI SP
Michigan Other OD14836 BC/BS PSYCHIATRY-MULTI SP

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