| Catherine's Health Center | |
|
1211 Lafayette Ave Ne Grand Rapids MI 49505-5092 | |
| (616) 336-8800 | |
| (616) 336-9700 |
| Full Name | Catherine's Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1211 Lafayette Ave Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | John A Walen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6163368800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine's Health Center 1211 Lafayette Ave Ne Grand Rapids MI 49505-5092 Ph: (616) 336-8800 | Catherine's Health Center 1211 Lafayette Ave Ne Grand Rapids MI 49505-5092 Ph: (616) 336-8800 |
| NPI Number | 1912055872 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 11/18/2020 |
| Medicare PECOS PAC ID | 2860615838 |
|---|---|
| Medicare Enrollment ID | O20140520000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912055872 | NPI | - | NPPES |
| 1018352 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Noah J Menerey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467550517 PECOS PAC ID: 7719915149 Enrollment ID: I20050727001110 |
| Provider Name | Mary C Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801888938 PECOS PAC ID: 2961436969 Enrollment ID: I20050920000422 |
| Provider Name | Heather N Bunting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881645422 PECOS PAC ID: 4183629686 Enrollment ID: I20060915000130 |
| Provider Name | Kenneth W Vanbeek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770584856 PECOS PAC ID: 2961553631 Enrollment ID: I20090619000584 |
| Provider Name | Laura A Vandermolen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821039066 PECOS PAC ID: 8325177355 Enrollment ID: I20100528000583 |
| Provider Name | Elizabeth Brouwer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295788552 PECOS PAC ID: 5496857666 Enrollment ID: I20101109000712 |
| Provider Name | Ryan S Holley-mallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992094403 PECOS PAC ID: 1850541772 Enrollment ID: I20121030000180 |
| Provider Name | Debra Bossenbroek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649498676 PECOS PAC ID: 5395968242 Enrollment ID: I20140521001233 |
| Provider Name | Joshlyn S Litzenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538493184 PECOS PAC ID: 4688891351 Enrollment ID: I20140805000360 |
| Provider Name | Megan A Demaagd-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144745613 PECOS PAC ID: 0547532707 Enrollment ID: I20170823000408 |
| Provider Name | Mark A Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477049518 PECOS PAC ID: 4688923774 Enrollment ID: I20180822003580 |
| Provider Name | Elizabeth Anastasia |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1033725379 PECOS PAC ID: 5193186823 Enrollment ID: I20230727003761 |
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