Pine Rest Christian Mental Heatth Services

LBN: Pine Rest Christian Mental Heatth Services
Pine Rest Christian Mental Heatth Services is an health care organization with primary practice located at 310 Lafayette Ave Se , Grand Rapids MI 49503-4693. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Pine Rest Christian Mental Heatth Services can be contacted via phone (616) 913-1400, or through Fennema, Diane via phone (616) 281-6372.

Contact Information

Primary practice address
310 Lafayette Ave Se Grand Rapids MI 49503-4693
Phone: (616) 913-1400
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 / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1508875667
LBN Legal business name Pine Rest Christian Mental Heatth 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508875667 NPPES
Michigan Other 500D11133 NURSE PRACT.
Michigan Other 800D16222 NURSE PRACT.
Michigan Other 260D17625 NURSE PRACT.
Michigan Other P10D11275 NURSE PRACT.
Michigan Other 680D16189 NURSE PRACT.

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