Baseline Clinical Service

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

AS030258948 Issued in MI

Legal business name

BASELINE CLINICAL SERVICE

Practice address

43 30TH St
Allegan, MI 49010-9740

Phone

(269) 673-8525

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David C. Ferry, L.L.P.

Title

President

Phone

(269) 673-8525

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1922267376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38175 32ND ST",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490798444",
            "telephone_number": "269-673-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 30TH ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109740",
            "telephone_number": "269-673-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASELINE CLINICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-673-8525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.L.P."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS030258948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ascension Borgess Allegan Hospital
• Ascension Borgess Allegan Hospital
• Assisted Residential Services
• Bree Jenene Austin-Roberts, LLMSW
• Matthew Balke, PHARMD
• Malinda Ann Bauder
• Evan Be
• Erin E Beauchamp, NP
• Alisa Becklar, LMSW
• Conrad William Beeler, RPH

• Mental Illness Community Based Residential Treatment Facility in Allegan, MI
• Providers in Allegan, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.