Active NPI
Christian Healthcare Centers, Inc.
- Internal Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1962941518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301030071
- Legal business name
- CHRISTIAN HEALTHCARE CENTERS, INC.
- Practice address
- 3322 E Beltline CT NE
Grand Rapids, MI 49525-9480 - Phone
- (616) 226-2669
- NPI assigned
- Feb 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Brian Blocher
- Title
- President/Ceo
- Phone
- (616) 340-7079
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301030071 | MI | Primary |
| Pediatrics Physician | 208000000X | 1419845 | MI |
Addresses
Primary practice location
3322 E Beltline CT NE
Grand Rapids, MI 49525-9480
Mailing address
PO Box 151190
Grand Rapids, MI 49515-1190
Phone (616) 226-2669
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2130456 | Christian Healthcare Centers, Inc | Certificate of waiver | May 8, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487116800000",
"number": "1962941518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151190",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495151190",
"telephone_number": "616-226-2669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 E BELTLINE CT NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259480",
"telephone_number": "616-226-2669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN HEALTHCARE CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A",
"authorized_official_last_name": "BLOCHER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "616-340-7079"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301030071",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": "1419845",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.