Organization Active NPI

Health Net of West Michigan

  • Case Management Agency
  • Grand Rapids, MI
National Provider Identifier
1376092064
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HEALTH NET OF WEST MICHIGAN
Practice address
620 Century Ave SW
Suite 210
Grand Rapids, MI 49503-4977
Phone
(616) 726-8204
Fax
(616) 726-8205
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Maureen T Kirkwood, MPH
Title
Executive Director
Phone
(616) 632-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

620 Century Ave SW
Suite 210
Grand Rapids, MI 49503-4977

Mailing address

620 Century Ave SW
Suite 210
Grand Rapids, MI 49503-4977
Phone (616) 726-8204

National Provider Directory

National Provider Directory

Locations

620 Century Ave SW
Ste 210
Grand Rapids, MI 49503
Phone (616) 726-8204

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1376092064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CENTURY AVE SW",
            "address_2": "SUITE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034977",
            "telephone_number": "616-726-8204",
            "fax_number": "616-726-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CENTURY AVE SW",
            "address_2": "SUITE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034977",
            "telephone_number": "616-726-8204",
            "fax_number": "616-726-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH NET OF WEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-632-1010",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 Sep 23, 2016; 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.