NPIMap

Organization Active NPI

Christian Global Medical Healthcare, Incorporated

  • Family Medicine Physician
  • Wyoming, MI
National Provider Identifier
1881313807
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATED
Practice address
3637 Clyde Park Ave SW Ste 4
Wyoming, MI 49509-4095
Phone
(616) 808-3265
Fax
(616) 726-7019
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Dr. Manjerngie Cecelia Ndebe, APRN, FNP-C, PHD
Title
Ceo/Provider
Phone
(269) 329-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3637 Clyde Park Ave SW Ste 4
Wyoming, MI 49509-4095

Mailing address

PO Box 497
Portage, MI 49081-0497
Phone (616) 808-3265

Other names 1

  • Christian Global Healthcare Incorporated Wyoming, MI Other name

National Provider Directory

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

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1881313807",
    "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": "616-808-3265",
            "fax_number": "616-726-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 CLYDE PARK AVE SW STE 4",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094095",
            "telephone_number": "616-808-3265",
            "fax_number": "616-726-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATED",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "NDEBE",
        "authorized_official_first_name": "MANJERNGIE",
        "authorized_official_middle_name": "CECELIA",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "269-329-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN, FNP-C, PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Global Healthcare Incorporated Wyoming, MI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.