WEDGWOOD CHRISTIAN SERVICES NPI 1902997224

NPI Information

NPI: 1902997224
Provider Name: WEDGWOOD CHRISTIAN SERVICES
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3300 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 942-2110
Get Directions

WEDGWOOD CHRISTIAN SERVICES is a multi-specialty clinic center in Grand Rapids, MI. WEDGWOOD CHRISTIAN SERVICES NPI is 1902997224. The provider is registered as an organization entity type.

The provider's business location address is:

3300 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512-810
Phone: (616) 942-2110
Fax: (616) 942-0589

The provider's authorized official is Daniel T Gowdy .
The authorized official title is Ceo/president and has the following contact phone number (616) 942-2110.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 3/24/2021.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		CI410201226	MICHIGAN	No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		CI410201359	MICHIGAN	No
4	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		CI410201082	MICHIGAN	No
5	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		CICI410201003	MICHIGAN	No
6	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		CI410201501	MICHIGAN	No
7	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	CI410201502	MICHIGAN	No
8	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 11/14/2023

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.

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