OTTAGAN ADDICTIONS RECOVERY, INC. (NPI# 1679653810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679653810 |
| Entity Type | Organization |
| Organization Name | OTTAGAN ADDICTIONS RECOVERY, INC. |
| Other Organization Name | OAR, INC. |
| Practice Address |
1310 Wisconsin Ave Suite 303 Grand Haven MI 49417-2472 |
| Mailing Address |
700 Washington Ave Suite 220 Grand Haven MI 49417-1499 |
| Practice Telephone | 6168426710 |
| Mailing Telephone | 6168426710 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | MR. RICH D CAMPBELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6163965284 |
| Authorized Official Credential | LMSW, CAADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 700025 | MI | Agencies |
| Other Name | Type Code |
|---|---|
| OAR, Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144207200 | Ottagan Addictions Recovery, Inc. | Public Health or Welfare | 483 Century Ln, Holland, MI 49423-4286 | 2005-12-29 |
| 1881764942 | Ottagan Addictions Recovery, Inc. | Substance Abuse Rehabilitation Facility | 377 Lincoln Ave, Holland, MI 49423-3664 | 2006-11-08 |
| 1508942764 | Ottagan Addictions Recovery, Inc. | Substance Abuse Rehabilitation Facility | 231 Washington Blvd, Holland, MI 49423-3126 | 2006-10-31 |
| Street Address |
1310 WISCONSIN AVE SUITE 303 |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121270 | Larry A Poel | Family Medicine | 1310 Wisconsin Ave, Suite 301, Grand Haven, MI 49417-2472 | 2005-06-01 |
| 1770931719 | Rachel Mcdermott | Nurse Practitioner | 1310 Wisconsin Ave, Ste. 100, Grand Haven, MI 49417-2472 | 2016-06-01 |
| 1003249442 | Elizabeth Lynne Cross | Nurse Practitioner | 1310 Wisconsin Ave, Suite 100, Grand Haven, MI 49417-2472 | 2013-08-20 |
| 1063653335 | Donna Zambetis | Nurse Practitioner | 1310 Wisconsin Ave, Suite 200, Grand Haven, MI 49417-2472 | 2009-03-17 |
| 1962653725 | Christine Mary Ryan | Family Medicine | 1310 Wisconsin Ave, Suite 301, Grand Haven, MI 49417-2472 | 2008-10-09 |
| 1538321955 | Mehul B Patel | Internal Medicine | 1310 Wisconsin Ave, Suite 200, Grand Haven, MI 49417-2472 | 2008-06-26 |
| 1023284304 | Robert W Dixon Jr Md PC | Family Medicine | 1310 Wisconsin Ave, Suite 200, Grand Haven, MI 49417-2472 | 2008-05-06 |
| 1962693416 | Henry Ottens | Independent Medical Examiner | 1310 Wisconsin Ave, Grand Haven, MI 49417-2472 | 2007-08-08 |
| 1568588432 | Kyle Vernon Kramer | Family Medicine | 1310 Wisconsin Ave, Suite 103, Grand Haven, MI 49417-2472 | 2007-03-22 |
| 1427148345 | Norman R. Boeve, M.d.,p.c. | Orthopaedic Surgery | 1310 Wisconsin Ave, Grand Haven, MI 49417-2472 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| City | GRAND HAVEN |
| Zip Code | 49417 |
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| 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.