Gunden Afc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AS180010543 Issued in MI

Legal business name

GUNDEN AFC

Practice address

16 Kapplinger Dr
Farwell, MI 48622-9405

Phone

(989) 588-6769

NPI assigned

Dec 29, 2011

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Gunden

Title

Home Provider

Phone

(989) 588-6769

Specialties & licenses 1

Addresses

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.

• Brett Russell Wiley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farwell, MI
  • NPI 1275102493
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1306115894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486220129",
            "telephone_number": "989-588-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KAPPLINGER DR",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229405",
            "telephone_number": "989-588-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDEN AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "GUNDEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "HOME PROVIDER",
        "authorized_official_telephone_number": "989-588-6769"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS180010543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farwell Dental, PLLC (Farwell Family Dentistry)
• Farwell Internal Medicine PLLC
• Dan Faust
• Rebecca Gibbs
• Megan Marie Griswold, OTRL
• Brittney Humphrey, B.S.; L.M.T.
• Kristen Hyatt, PA-C
• Isabella Citizens for Health Inc (Farwell Health Center of Isabella Citizens for Health Inc)
• Isabella Citizens for Health Inc (Farwell Health Center Pharmacy)
• J & a Health Care Systems, Inc. (North Woods Nursing Center)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Farwell, MI
• Providers in Farwell, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.