Ionia County Community Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IONIA COUNTY COMMUNITY MENTAL HEALTH

Practice address

375 Apple Tree Dr
Ionia, MI 48846-7506

Phone

(616) 527-1790

Fax

(616) 527-1330

NPI assigned

Mar 8, 2010

Last updated

Mar 8, 2010By 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

Ms. Patricia J Struble

Title

Reimbursement Specialist

Phone

(616) 775-1018

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ionia County Communi Mental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ionia County Community Mental Health

  • Community/Behavioral Health Agency
  • Ionia, MI
  • NPI 1578444683
  NPD tax ID

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1669795522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 APPLE TREE DR",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488467506",
            "telephone_number": "616-527-1790",
            "fax_number": "616-527-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 APPLE TREE DR",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488467506",
            "telephone_number": "616-527-1790",
            "fax_number": "616-527-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IONIA COUNTY COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "STRUBLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REIMBURSEMENT SPECIALIST",
        "authorized_official_telephone_number": "616-775-1018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774350393",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Allen Hyde, D.O.
• Sara Hyland
• Inner Access Therapy Center LLC
• Ionia Associates LLC
• Ionia County Community Mental Health
• Ionia County Community Mental Health
• Ionia County Health Department
• Ionia County Intermediate School District
• Ionia County Memorial Hospital Corporation (Icmh Home Care)
• Ionia Dental, PLLC

• Community/Behavioral Health Agency in Ionia, MI
• Providers in Ionia, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.