Pine Rest Christian Mental Health Services
NPI 1851309884ActiveOrganization· General Practice· Grand Rapids, MI
General Practice in Grand Rapids, Michigan, registered in NPPES in August 2006, part of Pine Rest Christian Mental Health Services. The authorized official on file is Diane Fennema, Managed Care Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851309884 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pine Rest Christian Mental Health Services |
| NPI issued | Aug 4, 2006 |
| Last updated in NPPES | Nov 4, 2020 |
| Certified by provider | Nov 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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