CRISTO REY COMMUNITY CENTER NPI 1407800931

NPI Information

  • NPI: 1407800931
  • Provider Name: CRISTO REY COMMUNITY CENTER
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 23D0376202
  • Address: 1717 N HIGH ST
    LANSING, MI
    ZIP 48906
  • Phone: (517) 371-1700

Map and Directions

Get Directions

NPI Details

CRISTO REY COMMUNITY CENTER is a general practice in Lansing, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CRISTO REY COMMUNITY CENTER NPI is 1407800931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1717 N HIGH ST
LANSING, MI
ZIP 48906-529
Phone: (517) 371-1700
Fax: (517) 371-4245

The provider's authorized official is Peter H Cooke .
The authorized official title is Medical Director and has the following contact phone number (517) 371-1700.

The CLIA number assigned to this NPI record is 23D0376202 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 10/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologySL037010MICHIGANNo
2208D00000XGeneral PracticePC049423MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010C362090OTHERMICHIGANBCBS COOKE
23148943MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI