| Gfm The Synergy Center | |
|
5805 Oakland Dr Portage MI 49024-1118 | |
| (269) 323-1954 | |
| (269) 323-4183 |
| Full Name | Gfm The Synergy Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5805 Oakland Dr, Portage, Michigan |
| Authorized Official Name and Position | Valarie S Cunningham (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2693231954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gfm The Synergy Center 5805 Oakland Dr Portage MI 49024-1118 Ph: (269) 323-1954 | Gfm The Synergy Center 5805 Oakland Dr Portage MI 49024-1118 Ph: (269) 323-1954 |
| NPI Number | 1568500023 |
|---|---|
| Provider Enumeration Date | 02/04/2007 |
| Last Update Date | 07/10/2013 |
| Medicare PECOS PAC ID | 3779674924 |
|---|---|
| Medicare Enrollment ID | O20070802000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568500023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801081655 (Michigan) | Primary |
| Provider Name | Valarie S Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942413307 PECOS PAC ID: 5890886030 Enrollment ID: I20070802000349 |
| Provider Name | Katherine A Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033502133 PECOS PAC ID: 9537471891 Enrollment ID: I20150630001476 |
| Provider Name | Calvin D Ruff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831436336 PECOS PAC ID: 6608257753 Enrollment ID: I20220720001910 |
| Provider Name | Ronda Kay Shorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467234179 PECOS PAC ID: 2769830868 Enrollment ID: I20231130000822 |
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