Organization 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
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2065690Love Inc of the Tri-Cities326 N Ferry Street, Grand Haven, MI 49417Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

326 N Ferry St
Grand Haven, MI 49417
Phone (616) 846-2701

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.