NPIMap

Organization Active NPI

Montcalm Care Network

  • Community/Behavioral Health Agency
  • Stanton, MI
National Provider Identifier
1710074448
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MONTCALM CARE NETWORK
Practice address
611 N State Street
Stanton, MI 48888
Phone
(989) 831-7520
Fax
(989) 831-7578
NPI assigned
Oct 6, 2006
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Mr. James R Wise
Title
Associate Director of Finance
Phone
(989) 831-7577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

611 N State Street
Stanton, MI 48888

Mailing address

611 N State Street
Stanton, MI 48888
Phone (989) 831-7520

Other names 1

  • The Montcalm Center for Behavioral Health Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623001391 MI Part B Supplier - Clinic/Group Practice 8123000932 Receives reassigned benefits from 30 practitioners
Practice locations: Stanton, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2095713Montcalm Center for Behavioral Health611 N State Street, Stanton, MI 48888Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Locations

108 N Lafayette St
Greenville, MI 48838
Phone (989) 831-7520

611 N State St
Stanton, MI 48888
Phone (989) 831-7520

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1710074448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N STATE STREET",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "48888",
            "telephone_number": "989-831-7520",
            "fax_number": "989-831-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N STATE STREET",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "48888",
            "telephone_number": "989-831-7520",
            "fax_number": "989-831-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCALM CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "989-831-7577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Montcalm Center for Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stanton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.