Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EASTERN CLINIC PLLC
Active OrganizationEASTERN CLINIC PLLC is a Methadone Clinic organization located in GRAND RAPIDS, Michigan. NPI 1942675426 is currently active in the NPPES registry. Verify at CMS.
Methadone Clinic · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1942675426
- Provider Type
- Organization
- NPI Issued
- Dec 9, 2015 (10.697154771977 yrs)
- Last Updated
- Dec 9, 2015
- License
-
SA0410165 (MI)
Practice Information
- Address
-
1555 EASTERN AVE SEGRAND RAPIDS, MI, 495072055Browse MI providers · Browse ZIP 49507
- Phone
- 6162436262
- Fax
- 6162436969
- Primary Specialty
-
Methadone Clinic
261QM2800X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.