NPIMap

Organization Active NPI

Christian Global Medical Healthcare, Incorporated

  • Primary Care Clinic/Center
  • Portage, MI
National Provider Identifier
1841621299
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATED
Practice address
451 W Milham Ave
Portage, MI 49024-2721
Phone
(269) 352-0655
NPI assigned
Dec 11, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Dr. Manjerngie Cecelia Ndebe, RN, FNP-C, PHDNPI 1063562585
Title
Chief Global Executive Officer
Phone
(269) 352-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Urgent Care Clinic/Center 261QU0200X MI

Addresses

Primary practice location

451 W Milham Ave
Portage, MI 49024-2721

Mailing address

PO Box 497
Portage, MI 49081-0497
Phone (269) 352-0655

Other names 1

  • Christian Global Medical Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150130000136 MI Part B Supplier - Clinic/Group Practice 4981928504 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Portage, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Christian Global Medical Healthcare Incorporated4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

950 28th St SE
Ste 205E
Grand Rapids, MI 49508

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1841621299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490810497",
            "telephone_number": "269-352-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242721",
            "telephone_number": "269-352-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "NDEBE",
        "authorized_official_first_name": "MANJERNGIE",
        "authorized_official_middle_name": "CECELIA",
        "authorized_official_title_or_position": "CHIEF GLOBAL EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "269-352-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, FNP-C, PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Global Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.