NPIMap

Organization Active NPI

Van Buren Community Mental Health Authority

  • Case Management Agency
  • Paw Paw, MI
National Provider Identifier
1780011890
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Practice address
801 Hazen St
Suite C
Paw Paw, MI 49079-2008
Phone
(269) 657-5574
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Debra Hess
Title
Ceo/Ceo
Phone
(269) 657-5574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

801 Hazen St
Suite C
Paw Paw, MI 49079-2008

Mailing address

801 Hazen St
Suite C
Paw Paw, MI 49079-2008
Phone (269) 657-5574

National Provider Directory

National Provider Directory
Tax ID family
Van Buren Health Authority6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

801 Hazen St
Ste C
Paw Paw, MI 49079
Phone (269) 657-5574

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1780011890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HAZEN ST",
            "address_2": "SUITE C",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490792008",
            "telephone_number": "269-657-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HAZEN ST",
            "address_2": "SUITE C",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490792008",
            "telephone_number": "269-657-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO/CEO",
        "authorized_official_telephone_number": "269-657-5574"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paw Paw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.