| Pine Rest Christian Mental Health Services | |
|
300 68th St Se Grand Rapids MI 49548-6927 | |
| (616) 455-5270 | |
| (616) 281-6459 |
| Full Name | Pine Rest Christian Mental Health Services |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 300 68th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Ryan Larue (VP CONTRACTING) |
| Authorized Official Contact | 6162816373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Rest Christian Mental Health Services 300 68th St Se Po Box 165 Grand Rapids MI 49548-6927 Ph: (616) 281-6372 | Pine Rest Christian Mental Health Services 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5270 |
| NPI Number | 1982672762 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 4981506508 |
|---|---|
| Medicare Enrollment ID | O20070328000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982672762 | NPI | - | NPPES |
| 00290 | Other | MI | BC/BS |
| 1556812 | Medicaid | MI |
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