Colette R Purucker (NPI# 1255852091, PAC ID# 9234498718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1255852091 |
| PAC ID by PECOS | 9234498718 |
| Professional Enrollment ID | I20180108001533 |
| Full Name | Colette R Purucker |
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Address |
450 Meadow Run Dr Hastings MI 49058-9053 |
| Phone Number | 6168918770 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4981506508 |
| Number of Group Practice Members | 270 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 450 Meadow Run Dr, Hastings, MI 49058-9053 | 6168918770 | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Physicians | 326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faith J Huyck | Nurse Practitioner | Pine Rest Christian Mental Health Services | 1050 Silver Dr, Traverse City, MI 49684-5749 |
| Morgan K Bailey | Nurse Practitioner | Pine Rest Christian Mental Health Services | 2118 3 Mile Nwrd, Grand Rapids, MI 49544-1425 |
| Justin D Sides | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Pine Rest Northwest Clinic, Grand Rapids, MI 49544-1452 |
| Diana B Ro | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Dr Sw, Grandville, MI 49418-2695 |
| Joshua A Godfrey | Clinical Social Worker | Pine Rest Christian Mental Health Services | 320 Commerce Ave Sw, Pine Rest Demay Clinic, Grand Rapids, MI 49503-4110 |
| Therese L Boggiano | Nurse Practitioner | Pine Rest Christian Mental Health Services | 926 Washington Ave, Holland, MI 49423-7725 |
| Carey A Cutcher | Clinical Social Worker | Pine Rest Christian Mental Health Services | 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Lindsay M Fikkert | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 2611 Washington St, Pella, IA 50219-7924 |
| Christine A Mushlock | Clinical Social Worker | Pine Rest Christian Mental Health Services | 877 Forest Hills Ave Se, Pine Rest Forest Hills Clinic, Grand Rapids, MI 49546 |
| Tatjana Maric | Psychiatry | Pine Rest Christian Mental Health Services | 1530 Nicholas Rd, Kalamazoo, MI 49006-2065 |
| Street Address |
450 MEADOW RUN DR |
| City | HASTINGS |
| State | MI |
| Zip | 49058-9053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Elizabeth Young | Clinical Social Worker | Vicki L Shumaker Plc | 450 Meadow Run Dr, Suite 400, Hastings, MI 49058-9054 |
| Sue E Eastman | Clinical Social Worker | Pine Rest Christian Mental Health Services | 450 Meadow Run Dr, Hastings, MI 49058-9053 |
| Vicki L Shumaker | Clinical Social Worker | Vicki L Shumaker Plc | 450 Meadow Run Dr, Suite 400, Hastings, MI 49058-9054 |
| Heather L Kiel | Clinical Social Worker | Pine Rest Christian Mental Health Services | 450 Meadow Run Dr, Hastings, MI 49058-9053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott B Bloom | Optometry | 1510 N Broadway, Hastings, MI 49058-1007 | |
| Michael W Macleod | Chiropractic | 327 W Apple St, Hastings, MI 49058-1601 | |
| Danielle Kay Bercier | Chiropractic | Bercier Family Chiropractic, LLC | 502 W State St, Hastings, MI 49058-1642 |
| Robert George Bercier | Chiropractic | Bercier Family Chiropractic, LLC | 502 W State St, Hastings, MI 49058-1642 |
| Kelly Marie James | Optometry | Rx Optical Laboratories, Inc. | 803 W State St, Hastings, MI 49058-1660 |
| Bruce E Sandifer | Optometry | Rx Optical Laboratories, Inc. | 803 W State St, Hastings, MI 49058-1660 |
| Daniel Adam Blasch | Physician Assistant | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
| Peter Andrea Beaulieu | Vascular Surgery | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
| John R Parker | Physician Assistant | Spectrum Health Primary Care Partners | 1009 W Green St, Shmg Hospitalists Pennock, Hastings, MI 49058-1710 |
| Bryan S Kamps | Orthopedic Surgery | Pennock Hospital | 1009 W Green St, Hastings, MI 49058-1710 |
| Find all physicians in zip 49058 | |||
| City | HASTINGS |
| Zip Code | 49058 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | HASTINGS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Colette R Purucker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.