BRIDGES HEALTH SERVICES (NPI# 1790067064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790067064 |
| Entity Type | Organization |
| Organization Name | BRIDGES HEALTH SERVICES |
| Practice Address |
1132 Carberry Rd Niles MI 49120-5107 |
| Practice Telephone | 2696842837 |
| Mailing Telephone | 2696842837 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | EUNICE HAMILTON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2696842837 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704218867 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0877675 | 01 |
| MI | MEDICARE PLUS BLUE PPO | 1114196748 | 01 |
| Street Address |
1132 CARBERRY RD |
| City | NILES |
| State | MI |
| Zip Code | 49120-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689956948 | Eunice Hamilton, Np | Assisted Living Facility | 1132 Carberry Rd, Niles, MI 49120-5107 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985143 | Ilda Grahovic | Nurse Practitioner | 8612 N Osceola Ave, Niles, IL 60714-2030 | 2020-05-30 |
| 1669023347 | David Flowers | Nurse Practitioner | 8323 N Oriole Ave, Niles, IL 60714-2555 | 2019-09-24 |
| 1255832424 | Diana Heskin | Nurse Practitioner | 7900 N Milwaukee Ave Ste 2-24, Niles, IL 60714-3186 | 2018-02-23 |
| 1598276388 | Sumnima Karki | Nurse Practitioner | 8809 W Golf Rd Apt 1i, Niles, IL 60714-5723 | 2017-10-19 |
| 1346614260 | Queenester B Gray | Nurse Practitioner | 5940 W Touhy Ave Ste 370, Niles, IL 60714-4619 | 2015-11-16 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1811558695 | Cindy Ann Fink | Nurse Practitioner | 1331 Youngstown Warren Rd, Niles, OH 44446-4616 | 2019-06-24 |
| 1508339086 | Annette Fontanez | Nurse Practitioner | 7900 N Milwaukee Ave Ste 18, Niles, IL 60714-3165 | 2019-01-07 |
| 1891210944 | Amy Adel Sugar | Nurse Practitioner | 1331 Youngstown Warren Rd, Niles, OH 44446-4616 | 2017-08-10 |
| 1518401090 | Theresa Andrews | Nurse Practitioner | 9640 N Milwaukee Ave, Niles, IL 60714-1117 | 2016-12-18 |
| Find all providers in NILES | ||||
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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.