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CRESTON MEDICAL CENTER
NPI 1154583078
Clinic/Center - Health Service in Grand Rapids, MI

Active since July 01, 2008
1330 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505(616) 776-1275(616) 776-3713 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creston Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESTON MEDICAL CENTER (NPI 1154583078) is a healthcare organization registered as a health service in Grand Rapids, Michigan and active in the NPI registry since July 2008. The organization lists Margo Maryland App, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154583078
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCRESTON MEDICAL CENTER, PLLC
Location Address1330 PLAINFIELD AVE NEGrand Rapids, MI 49505-4913
Mailing AddressPo Box 2564Grand Rapids, MI 49501-2564 · (616) 776-1275 · Fax (616) 776-3713
Phone(616) 776-1275
Fax(616) 776-3713
Organization SubpartNo
Authorized OfficialMargo Maryland AppAdministrator · (616) 776-0814
Enumeration DateJuly 1, 2008
✔ NPI 1154583078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in MI · 4301029675
1330 PLAINFIELD AVE NE, Grand Rapids, MI 49505
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Other Names 1

Doing Business AsCreston Medical Center

Other Identifiers 1

Medicare PINN662300MI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRESTON MEDICAL SERVICE, PC
Family Medicine
1330 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 776-1275
MISS RUTH JEAN VANDENBERG P.A.-C.
Physician Assistant
1330 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 776-0814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creston Medical Center, PLLC's NPI number?

The NPI number for Creston Medical Center, PLLC is 1154583078. It was assigned to this organization in the NPPES registry on July 1, 2008. The provider is doing business as Creston Medical Center.

Where is Creston Medical Center, PLLC located?

Creston Medical Center, PLLC is located at 1330 Plainfield Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 776-1275.

What is Creston Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Creston Medical Center, PLLC was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.