COMMUNITY MENTAL HEALTH SERVICES OF ST. JOSEPH COUNTY (NPI# 1780014449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780014449 |
Entity Type | Organization |
Organization Name | COMMUNITY MENTAL HEALTH SERVICES OF ST. JOSEPH COUNTY |
Other Organization Name | ST. JOSEPH COUNTY HEALTH CENTER |
Practice Address |
677 E Main St Centreville MI 49032-8524 |
Practice Telephone | 2694671000 |
Practice Fax Number | 2694673075 |
Mailing Telephone | 2694671000 |
Mailing Fax Number | 2694673075 |
Enumeration Date | 2013-11-17 |
Last Update Date | 2014-02-13 |
Authorized Official Name | LYNN DOBBERTEEN (DIRECTOR) |
Authorized Official Telephone | 2694671000 |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY MENTAL SERVICES OF ST. JOSEPH COUNTY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
St. Joseph County Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073165528 | Community Mental Health Services of St. Joseph County | Clinic/Center | 677 E. Main St., Centreville, MI 49032 | 2019-07-15 |
Street Address |
677 E MAIN ST |
City | CENTREVILLE |
State | MI |
Zip Code | 49032-8524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750651535 | Lindsay Eileen Knapp | Social Worker | 677 E Main St, Suite A, Centreville, MI 49032-8524 | 2012-01-10 |
1356949481 | Crystal Hughes | Social Worker | 677 E Main St, Centreville, MI 49032-8524 | 2020-10-12 |
1851907224 | Karah Dennell Johnson | Social Worker | 677 E Main St, Centreville, MI 49032-8524 | 2020-09-21 |
1134731839 | Abigail Lynn Parshall | Social Worker | 677 E Main St, Centreville, MI 49032-8524 | 2020-08-24 |
1578175352 | Uriah Marriott | Social Worker | 677 E Main St, Centreville, MI 49032-8524 | 2020-08-21 |
1619589074 | Jonathan Christian Anthony | Social Worker | 677 E Main St, Centreville, MI 49032-8524 | 2020-08-18 |
1154930618 | Mark Alan Olsen | Registered Nurse | 677 E Main St, Centreville, MI 49032-8524 | 2020-07-30 |
1205498151 | Jennifer Anne Barnes | Licensed Practical Nurse | 677 E Main St, Centreville, MI 49032-8524 | 2019-07-01 |
1851859847 | Ann Mclauchlin | Registered Nurse | 677 E Main St, Centreville, MI 49032-8524 | 2019-03-08 |
1508322405 | Misty Rohloff-ferry | Social Worker | 677 E Main St, Centreville, MI 49032-8524 | 2019-02-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669901815 | Bridge Healthcare Pharmacy LLC | Pharmacy | 658 E. Main St, Suite 1, Centreville, MI 49032 | 2017-06-09 |
1962700054 | Jennifer Rose Fisher | Social Worker | 677 E. Main Street, Centreville, MI 49032 | 2011-03-14 |
1437452240 | Carol Ann Naccarato | Registered Nurse | 677 East Main Street, Suite A, Centreville, MI 49032 | 2010-12-16 |
1003120510 | Rebecca Nicole Brueck | Registered Nurse | 677 East Main, Suite A, Centreville, MI 49032 | 2010-07-27 |
1497081723 | Travis Scott Kohl | Counselor | 677 East Main St, Suite A, Centreville, MI 49032 | 2009-10-21 |
1811142946 | Paula Therese Berchiatti | Counselor | 677a E. Main Street, Centreville, MI 49032 | 2008-11-17 |
1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
1932398815 | Heather Nicole Decastro | Counselor | 377a East Main, Centreville, MI 49032 | 2007-10-17 |
1073686432 | Linda Sue Overholt | Counselor | 338 N Fisher Ln, Centreville, MI 49032 | 2006-11-15 |
1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
Find all providers in zip 49032 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316498041 | Cahaba Medical Care Foundation | Clinic/Center | 260 Walnut St, Centreville, AL 35042-2332 | 2016-10-18 |
1063876910 | Covered Bridge Healthcare of St. Joseph County Inc | Clinic/Center | 658 E Main St, Centreville, MI 49032-9699 | 2016-04-07 |
1316289515 | Cahaba Medical Care Foundation | Clinic/Center | 405 Belcher St, Centreville, AL 35042-2946 | 2013-03-26 |
1316201809 | Cahaba Medical Care Foundation | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2012-06-28 |
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1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
Find all providers with the same taxonomy |
City | CENTREVILLE |
Zip Code | 49032 |
Please comment or provide details below to improve the information on COMMUNITY MENTAL HEALTH SERVICES OF ST. JOSEPH COUNTY.
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.