WEDGWOOD CHRISTIAN SERVICES (NPI# 1902997224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902997224 |
Entity Type | Organization |
Organization Name | WEDGWOOD CHRISTIAN SERVICES |
Practice Address |
3300 36th St Se Grand Rapids MI 49512-2810 |
Practice Telephone | 6169422110 |
Practice Fax Number | 6169420589 |
Mailing Telephone | 6169422110 |
Mailing Fax Number | 6169420589 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2018-10-01 |
Authorized Official Name | JEANNA MARIE RATERINK (CONTRACT MANAGER) |
Authorized Official Telephone | 6168315627 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CI410201226 | MI | Residential Treatment Facilities |
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CI410201359 | MI | Residential Treatment Facilities |
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CI410201082 | MI | Residential Treatment Facilities |
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CICI410201003 | MI | Residential Treatment Facilities |
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CI41020150 | MI | Residential Treatment Facilities |
N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
CI410201502 | MI | Residential Treatment Facilities |
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
100 Buckley St Se, Grand Rapids, MI 495035203 | 6169422110 | |
1260 Ekhart St Ne, Grand Rapids, MI 495031380 | 6169422110 | |
12930 James St Ste 210, Holland, MI 494248324 | 6169422110 | |
21061 19 Mile Rd, Big Rapids, MI 493079267 | 6169422110 | |
407 S Nelson St, Greenville, MI 488382138 | 6169422110 | |
910 E Lincoln Ave, Ionia, MI 488461393 | 6169212110 | |
950 W Norton Ave Ste 301, Muskegon, MI 494414183 | 6169422110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730302308 | Wedgwood Christian Services | Case Management | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2007-04-11 |
1215047667 | Wedgwood Christian Services | Community/Behavioral Health | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2006-08-30 |
1154505337 | Wedgwood Christian Services | Community/Behavioral Health | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2007-12-24 |
1235252750 | Wedgwood Christian Services | Counselor | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2007-04-09 |
1972635761 | Wedgwood Christian Services | Counselor | 2520 Eastern Ave Se, Grand Rapids, MI 49507-3633 | 2007-03-09 |
1326122516 | Wedgwood Christian Services | Counselor | 3180 Racquet Club Dr, Ste. G, Traverse City, MI 49684-4797 | 2006-10-24 |
Street Address |
3300 36TH ST SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49512-2810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215047667 | Wedgwood Christian Services | Community/Behavioral Health | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2006-08-30 |
1396345005 | Khrystal Lewis | Behavior Technician | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-10-30 |
1528675105 | Aleah Caizza | Behavior Technician | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-09-28 |
1356958144 | Joyce Marie Mason | Behavior Technician | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-09-25 |
1689280638 | Aaron Jeremy Ackley | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-09-16 |
1588270417 | Hayley Landstra | Behavior Technician | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-09-16 |
1972114288 | Ashley Pecott | Counselor | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-08-11 |
1376154856 | Zorica Baka | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-08-10 |
1588274336 | Jenna Beson | Student in an Organized Health Care Education/Training Program | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-08-06 |
1821608795 | Evan Helene Pellow-robbins | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
Find all providers in zip 49512 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49512 |
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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.