Eastside Outpatient Services, PLLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

610030 Issued in MI

Legal business name

EASTSIDE OUTPATIENT SERVICES, PLLC

Practice address

445 E Sherman Blvd
Muskegon, MI 49444-2203

Phone

(231) 739-4359

Fax

(231) 733-6151

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Darien Lamarck Smith

Title

Executive Director

Phone

(231) 739-4359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1730454885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442203",
            "telephone_number": "231-739-4359",
            "fax_number": "231-733-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442203",
            "telephone_number": "231-739-4359",
            "fax_number": "231-733-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE OUTPATIENT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARIEN",
        "authorized_official_middle_name": "LAMARCK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-739-4359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "610030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Eames, DO
• Anita Eapen, MD
• Julie Anne Earby, PHARM.D.
• Eastside Manor
• Eastside Outpatient Services PLLC
• Jamie Michelle Eastway, MSW
• Robert J Eastway, DO
• Dennis M Eaton, CRNA
• Jeffrey Allen Eaton
• Heath Ebare, CPSS, ETS

• Substance Use Disorder Rehabilitation Clinic/Center in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.