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Pine Rest Christian Mental Health Services

General Practice Physician in Grand Rapids, MI · enumerated 2006 · authorized official Diane Fennema, Managed Care Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699786335

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Rest Christian Mental Health Services
Parent organization Pine Rest Christian Mental Health Services
Practice address 300 68th St Se, Grand Rapids, MI, 49548
Phone (616) 455-5000
Enumeration date Aug 10, 2006
Last updated in NPPES Nov 4, 2020

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Diane Fennema
Title Managed Care Administrator
Phone (616) 281-6372

Other identifiers

Identifier Type State Issuer
110D148370 Other MI BC/BS INTERNAL MD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-11-04. Verify at npiregistry.cms.hhs.gov.
Where is Pine Rest Christian Mental Health Services located?
The practice location on file with NPPES is in Grand Rapids, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-04.