NPIMap

Organization Active NPI

Advantage Health Convenient Care PLLC

  • Clinic/Center
  • Allendale, MI
National Provider Identifier
1508055294
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 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
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
David E BlairNPI 1518910900
Title
President and Cmo
Phone
(616) 913-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

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

National Provider Directory

National Provider Directory

Locations

6370 Lake Michigan Dr
Unit 100
Allendale, MI 49401
Phone (616) 895-2273

245 State St SE
Ste 326
Grand Rapids, MI 49503

Practitioners & affiliated clinicians

Practitioners 10

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1508055294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STATE ST SE",
            "address_2": "STE 326",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034328",
            "telephone_number": "616-913-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 LAKE MICHIGAN DR",
            "address_2": "STE 100",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019226",
            "telephone_number": "616-895-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH CONVENIENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT AND CMO",
        "authorized_official_telephone_number": "616-913-1800"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.