NPIMap

Organization Active NPI

Gerber Memorial Health Service

Doing business as Wound Care Clinic

  • Specialist
  • Grant, MI
National Provider Identifier
1255664470
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
43028094 Issued in MI
Legal business name
GERBER MEMORIAL HEALTH SERVICE
Doing business as
Wound Care Clinic
Practice address
230 S Maple St
Grant, MI 49327-9006
Phone
(231) 834-5995
Fax
(231) 834-0248
NPI assigned
Sep 8, 2009
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Dianna L Brown, FNPNPI 1093820912
Title
Directoer
Phone
(231) 854-6415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 43028094 MI Primary

Addresses

Primary practice location

230 S Maple St
Grant, MI 49327-9006

Mailing address

230 S Maple St
Grant, MI 49327-9006
Phone (231) 834-5995

Other names 1

  • Wound Care Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gerber Memorila Hospita15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1255664470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493279006",
            "telephone_number": "231-834-5995",
            "fax_number": "231-834-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493279006",
            "telephone_number": "231-834-5995",
            "fax_number": "231-834-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERBER MEMORIAL HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOER",
        "authorized_official_telephone_number": "231-854-6415",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "43028094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.