Pine Rest Telehealth Clinic
LBN: Pine Rest Christian Mental Health Services
Pine Rest Telehealth Clinic is an health care organization with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty.
Pine Rest Christian Mental Health Services can be contacted via phone (616) 281-6372, or through Fennema, Diane M via phone (616) 281-6372.
Contact Information
Primary practice address
300 68Th St Se
Grand Rapids MI 49548-6927
Phone: (616) 281-6372
Fax: (616) 281-6459
Website:
Health care specialties
Profile Details
| NPI number | 1568040368 |
|---|---|
| LBN Legal business name | Pine Rest Christian Mental Health Services |
| DBA Doing business as | Pine Rest Telehealth Clinic |
| Authorized official | Fennema, Diane M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 1st, 2021 |
| Last updated | Mar 11th, 2022 - about 2 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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