| Catherine's Health Center At Streams Of Hope | |
|
280 60th St Se Ste 200 Grand Rapids MI 49548-8504 | |
| (616) 336-8800 | |
| (616) 336-9700 |
| Full Name | Catherine's Health Center At Streams Of Hope |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 60th St Se Ste 200, Grand Rapids, Michigan |
| Authorized Official Name and Position | Karen Kaashoek (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6163368800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine's Health Center At Streams Of Hope 1211 Lafayette Ave Ne Grand Rapids MI 49505-5092 Ph: (616) 336-8800 | Catherine's Health Center At Streams Of Hope 280 60th St Se Ste 200 Grand Rapids MI 49548-8504 Ph: (616) 336-8800 |
| NPI Number | 1669074415 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 12/28/2020 |
| Medicare PECOS PAC ID | 2860615838 |
|---|---|
| Medicare Enrollment ID | O20210114000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669074415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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