CATHERINE'S HEALTH CENTER NPI 1912055872

NPI Information

  • NPI: 1912055872
  • Provider Name: CATHERINE'S HEALTH CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: CATHERINE'S CARE CENTER
  • CLIA Number: 23D2302900
  • Address: 1211 LAFAYETTE AVE NE
    GRAND RAPIDS, MI
    ZIP 49505
  • Phone: (616) 336-8800

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NPI Details

CATHERINE'S HEALTH CENTER is a clinic center in Grand Rapids, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CATHERINE'S HEALTH CENTER NPI is 1912055872. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Catherine's Care Center.

The provider's business location address is:

1211 LAFAYETTE AVE NE
GRAND RAPIDS, MI
ZIP 49505-092
Phone: (616) 336-8800
Fax: (616) 336-9700

The provider's authorized official is John A Walen .
The authorized official title is Medical Director and has the following contact phone number (616) 336-8800.

The CLIA number assigned to this NPI record is 23D2302900 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 11/18/2020.

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
1261Q00000XClinic/CenterYes

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
11018352MEDICAIDMICHIGAN

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: 3/30/2025

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