HOPE NETWORK WEST MICHIGAN NPI 1922486240

NPI Information

NPI: 1922486240
Provider Name: HOPE NETWORK WEST MICHIGAN
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 23D2089642

Address:
795 36TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 301-8000
Get Directions

HOPE NETWORK WEST MICHIGAN is a rehabilitation clinic center in Grand Rapids, MI. HOPE NETWORK WEST MICHIGAN NPI is 1922486240. The provider is registered as an organization entity type.

The provider's business location address is:

795 36TH ST SE
GRAND RAPIDS, MI
ZIP 49548-319
Phone: (616) 301-8000
Fax: (616) 301-8010

The provider's authorized official is Phil W Weaver .
The authorized official title is President and has the following contact phone number (616) 301-8000.

The CLIA number assigned to this NPI record is 23D2089642 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2015 and was last updated on 5/7/2015.

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	261QR0400X	Clinic/Center	Rehabilitation			Yes

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
1	0P46680	MEDICARE PIN	MICHIGAN

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

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