| Emmanuel Hospice | |
|
401 Hall St Sw Ste 263 Grand Rapids MI 49503-4988 | |
| (616) 719-0919 | |
| (616) 719-0933 |
| Full Name | Emmanuel Hospice |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 Hall St Sw Ste 263, Grand Rapids, Michigan |
| Authorized Official Name and Position | Sara Torrey Lowe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6167190919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Hospice 401 Hall St Sw Ste 263 Grand Rapids MI 49503-4988 Ph: (616) 719-0919 | Emmanuel Hospice 401 Hall St Sw Ste 263 Grand Rapids MI 49503-4988 Ph: (616) 719-0919 |
| NPI Number | 1851187652 |
|---|---|
| Provider Enumeration Date | 04/17/2025 |
| Last Update Date | 04/17/2025 |
| Certification Date | 04/17/2025 |
| Medicare PECOS PAC ID | 9537315874 |
|---|---|
| Medicare Enrollment ID | O20250721001852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851187652 | NPI | - | NPPES |
| Provider Name | Jordan R Sall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811242753 PECOS PAC ID: 2062641194 Enrollment ID: I20140721000592 |
| Provider Name | Emily L Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043839111 PECOS PAC ID: 3779983820 Enrollment ID: I20210611001219 |
| Provider Name | Jade Mackenzie Highlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982377420 PECOS PAC ID: 4880082643 Enrollment ID: I20251021004055 |
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