BAXTER COMMUNITY CENTER (NPI# 1164625109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164625109 |
| Entity Type | Organization |
| Organization Name | BAXTER COMMUNITY CENTER |
| Practice Address |
935 Baxter Se Grand Rapids MI 49506-2500 |
| Practice Telephone | 6164568593 |
| Practice Fax Number | 6164568640 |
| Mailing Telephone | 6164568593 |
| Mailing Fax Number | 6164568640 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-08-13 |
| Authorized Official Name | MELANIE J BEELEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6164568593 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 4301057840 | MI | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BAXTER COMMUNITY CENTER | 935 Baxter St Se, Grand Rapids, MI 49506-2500 |
| Street Address |
935 BAXTER SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619003076 | County of Itasca | Public Health or Welfare | 1209 Se 2nd Ave, Grand Rapids, MN 55744-3982 | 2007-02-27 |
| 1851788525 | Aitkin Itasca Koochiching Community Health Services | Public Health or Welfare | 1209 Se 2nd Ave, Grand Rapids, MN 55744-3982 | 2015-04-21 |
| 1386880599 | Aitkin-itasca-koochiching Chb | Public Health or Welfare | 1209 Se 2nd Ave, Itasca Resource Center, Grand Rapids, MN 55744-3982 | 2008-12-18 |
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| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on BAXTER COMMUNITY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.