Bethany Christian Services

Organization Active NPI Community/Behavioral Health Agency · Grand Rapids, MI

NPI 1275813453 · NPPES record last updated Aug 19, 2011

Key facts

NPI
1275813453
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
4101006467 (MI)
Legal business name
BETHANY CHRISTIAN SERVICES
Practice address
1050 36TH St SE
Grand Rapids, MI 49508
Phone
(616) 965-8093
NPI assigned
Aug 19, 2011
Organization subpart
No

Authorized official

Name
Mr. George Tyndall, LMSW
Title
Director
Phone
(616) 284-7543

Corporate family (same tax ID) 17

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Bethany Christian Services (18 organizations share this tax ID)

Locations

1050 36th St SE
Grand Rapids, MI 49508
Phone (269) 965-8078

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4101006467 MI Yes

Addresses

Primary practice location

1050 36TH St SE
Grand Rapids, MI 49508

Mailing address

901 Eastern Avenue NE
Grand Rapids, MI 49501-0294
Phone (616) 965-8093

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Community/Behavioral Health Agency in Michigan

Sources for this page

Verify at the official NPI Registry.