Organization Active NPI

Pureland Health Center LLC

  • Health Service Clinic/Center
  • Warren, MI
National Provider Identifier
1740747799
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PURELAND HEALTH CENTER LLC
Practice address
31700 Van Dyke Ave
Warren, MI 48093-7949
Phone
(616) 822-7178
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Lincoln Abraham
Title
Director
Phone
(616) 822-7178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

31700 Van Dyke Ave
Warren, MI 48093-7949

Mailing address

31700 Van Dyke Ave
Warren, MI 48093-7949
Phone (616) 822-7178

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1740747799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "616-822-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "616-822-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURELAND HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-822-7178"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.