Active NPI
Love Inc of the Tri-Cities
Doing business as Love INC Free Health and Dental Clinic
- Dental Clinic/Center
- Grand Haven, MI
National Provider Identifier
1275910150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LOVE INC OF THE TRI-CITIES
- Doing business as
- Love INC Free Health and Dental Clinic
- Practice address
- 326 N Ferry St
Grand Haven, MI 49417-1183 - Phone
- (616) 846-2701
- NPI assigned
- Apr 30, 2015
- Last updated
- Aug 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jody Buttery, RN
- Title
- Clinic Director
- Phone
- (616) 846-2701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
326 N Ferry St
Grand Haven, MI 49417-1183
Mailing address
326 N Ferry St
Grand Haven, MI 49417-1183
Phone (616) 846-2701
Other names 1
- Love INC Free Health and Dental Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2065690 | Love Inc of the Tri-Cities | Certificate of waiver | Sep 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
326 N Ferry St
Grand Haven, MI 49417
Phone (616) 846-2701
Interoperability endpoints
- https://api.platform.athenahealth.com/15079/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Dental Hygienist
- Grand Haven, MI
- NPI 1316613680
-
- Dental Hygienist
- Grand Haven, MI
- NPI 1760855225
-
- Dental Hygienist
- Grand Haven, MI
- NPI 1497209621
-
- Dental Hygienist
- Grand Haven, MI
- NPI 1407393978
-
- Dental Hygienist
- Grand Haven, MI
- NPI 1154858991
-
- Family Medicine Physician
- Grand Haven, MI
- NPI 1063388965
-
- Dental Assistant
- Grand Haven, MI
- NPI 1558907618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438646400000",
"number": "1275910150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 N FERRY ST",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171183",
"telephone_number": "616-846-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 N FERRY ST",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171183",
"telephone_number": "616-846-2701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVE INC OF THE TRI-CITIES",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-30",
"last_updated": "2015-08-04",
"status": "A",
"authorized_official_last_name": "BUTTERY",
"authorized_official_first_name": "JODY",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "616-846-2701",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Love INC Free Health and Dental Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.