CATHERINE'S HEALTH CENTER (NPI# 1811427826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811427826 |
| Entity Type | Organization |
| Organization Name | CATHERINE'S HEALTH CENTER |
| Practice Address |
1211 Lafayette Ave Ne Grand Rapids MI 49505-5092 |
| Practice Telephone | (616) 336-8800 |
| Practice Fax Number | 6163369700 |
| Mailing Telephone | 6163368800 |
| Mailing Fax Number | 6163369700 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | KAREN KAASHOEK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6163368800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912055872 | Catherine's Health Center | Clinic/Center | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2007-01-08 |
| Street Address |
1211 LAFAYETTE AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922155332 | John A Walen | Family Medicine | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2007-01-05 |
| 1144745613 | Megan Ann Demaagd-rodriguez | Nurse Practitioner | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2017-08-07 |
| 1225349657 | Leigh Kelly Shoemaker | Physician Assistant | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2010-06-30 |
| 1174705818 | Jonathan Reitzenstein | Family Medicine | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2007-12-05 |
| 1649498676 | Debra Bossenbroek | Nurse Practitioner | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2007-04-23 |
| 1912055872 | Catherine's Health Center | Clinic/Center | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730471368 | Justin L Shields | Clinic/Center | 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 | 2011-05-16 |
| 1902002272 | Trinity Health - Michigan | Clinic/Center | 359 S Division Ave, Grand Rapids, MI 49503 | 2007-06-25 |
| 1962933416 | Trinity Health-michigan | Clinic/Center | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 | 2017-03-27 |
| 1023558533 | Cherry Health | Clinic/Center | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2017-03-02 |
| 1154584373 | Trinity Health - Michigan | Clinic/Center | 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 | 2008-07-08 |
| 1508063561 | Saint Mary's Health Services | Clinic/Center | 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 | 2007-07-02 |
| 1417154477 | St Mary's Hlth Svcs | Clinic/Center | 359 Division Ave S, Grand Rapids, MI 49503-4537 | 2007-07-02 |
| 1902002264 | St Marys Hlth Svcs | Clinic/Center | 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 | 2007-06-25 |
| 1710182431 | Professional Financial Services | Clinic/Center | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 | 2007-06-21 |
| 1447456173 | Trinity Health- Michigan | Clinic/Center | 310 Lafayette Ave Se, Ste 410, Grand Rapids, MI 49503-4693 | 2007-06-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on CATHERINE'S HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.