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HEART OF THE CITY NPI 1952699415


NPI Information

NPI: 1952699415
Provider Name: HEART OF THE CITY

Former Legal Business Name: CHERRY STREET HEALTH SERVICES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
540 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 776-2120
Get Directions

HEART OF THE CITY is a family medicine in Grand Rapids, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEART OF THE CITY NPI is 1952699415. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Cherry Street Health Services.

The provider's business location address is:

540 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503-748
Phone: (616) 776-2120
Fax: (616) 772-2122

The provider's authorized official is Linda Constantino .
The authorized official title is Finance Director and has the following contact phone number (616) 776-2120.

The enumeration date for this NPI number is 7/19/2011 and was last updated on 7/19/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3122300000XDentistNo
4152W00000XOptometristNo
5207R00000XInternal MedicineNo
6208000000XPediatricsNo
72084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
8207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10D16477MEDICARE PINMICHIGAN

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

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