Wedgwood Christian Services

LBN: Wedgwood Christian Services
Wedgwood Christian Services is an health care organization with primary practice located at 3300 36Th St Se , Grand Rapids MI 49512-2810. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Wedgwood Christian Services can be contacted via phone (616) 942-2110, or through Gowdy, Daniel T via phone (616) 942-2110.

Contact Information

Primary practice address
3300 36Th St Se Grand Rapids MI 49512-2810
Phone: (616) 942-2110
Fax: (616) 942-0589
Website:
Map and Directions
Authorized official contact:
Name: Gowdy, Daniel T
Phone: (616) 942-2110

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Michigan

Profile Details

NPI number 1215047667
LBN Legal business name Wedgwood Christian Services
DBA Doing business as Wedgwood Christian Services
Authorized official Gowdy, Daniel T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 2nd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215047667 NPPES
Michigan MEDICAID 1464983

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