Organization Active NPI

Tobacco Free Partners

  • Health Service Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1316286131
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TOBACCO FREE PARTNERS
Practice address
150 Jefferson Ave SE
Suite 130
Grand Rapids, MI 49503-4306
Phone
(616) 685-1411
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Laura Van Heest
Title
Education and Program Coordinator
Phone
(616) 685-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

150 Jefferson Ave SE
Suite 130
Grand Rapids, MI 49503-4306

Mailing address

150 Jefferson Ave SE
Suite 130
Grand Rapids, MI 49503-4306
Phone (616) 685-1411

National Provider Directory

National Provider Directory

Locations

150 Jefferson Ave SE
Ste 130
Grand Rapids, MI 49503
Phone (616) 685-1411

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1316286131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JEFFERSON AVE SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034306",
            "telephone_number": "616-685-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JEFFERSON AVE SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034306",
            "telephone_number": "616-685-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBACCO FREE PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "VAN HEEST",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EDUCATION AND PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "616-685-1411"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.