Advantage Health Convenient Care PLLC
Organization Active NPI Clinic/Center · Allendale, MI
NPI 1508055294 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1508055294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ADVANTAGE HEALTH CONVENIENT CARE PLLC
- Practice address
- 6370 Lake Michigan Dr
Ste 100
Allendale, MI 49401-9226 - Phone
- (616) 895-2273
- NPI assigned
- Oct 18, 2007
- Organization subpart
- No
Authorized official
- Name
- David E Blair
- Title
- President and Cmo
- Phone
- (616) 913-1800
Practitioners 10
-
David E Blair, MD
-
Brian J Decker, MD
-
John Thore Duhn, DO
-
Thomas B Foster, MD
-
Jaime Halverson, DO
-
David Meyer, M.D.
-
Tami Nysse, NP
-
Donna Laureen Rinker, RN MSN BC-FNP
-
Todd Shomin, MD
National Provider Directory
Locations
6370 Lake Michigan Dr
Unit 100
Allendale, MI 49401
Phone (616) 895-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
6370 Lake Michigan Dr
Ste 100
Allendale, MI 49401-9226
Mailing address
245 State St SE
Ste 326
Grand Rapids, MI 49503-4328
Phone (616) 913-1800
Other providers in Allendale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.