BAXTER COMMUNITY CENTER
NPI 1164625109
Public Health or Welfare in Grand Rapids, MI

NPI Status: Active since June 07, 2007

Contact Information

935 BAXTER SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 456-8593
Fax: (616) 456-8640

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  • Organization
  • Public Health or Welfare
  • Accepts Insurance
  • CLIA Number: 23D0941238
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-22-2028

About BAXTER COMMUNITY CENTER

This page provides the complete NPI Profile along with additional information for Baxter Community Center, a provider established in Grand Rapids, Michigan operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1164625109 assigned on June 2007. The practitioner's primary taxonomy code is 251K00000X with license number 4301057840 (MI). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Melanie J Beelen (Executive Director)

NPI
1164625109
Provider Name
BAXTER COMMUNITY CENTER
Entity Type
Organization
Location Address
935 BAXTER SE GRAND RAPIDS, MI 49506
Location Phone
(616) 456-8593
Location Fax
(616) 456-8640
Mailing Address
935 BAXTER SE GRAND RAPIDS, MI 49506
Mailing Phone
(616) 456-8593
Mailing Fax
(616) 456-8640
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2007
Last Update Date
08-13-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
4301057840
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MELANIE J BEELEN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(616) 456-8593

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0941238
Facility Type
Community Clinic
Certificate Effective Date
February 23, 2026
Certificate Expiration Date
February 22, 2028
Laboratory Director
RICHARD A. VAN DYKEN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Baxter Community Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for BAXTER COMMUNITY CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164625109, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 2 + 2 + 1 + 0 + 1 + 0 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164625109.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164625109, enumerated as an "organization" on June 07, 2007.

The provider is located at 935 BAXTER SE GRAND RAPIDS, MI 49506 and the phone number is (616) 456-8593.

Public Health or Welfare with taxonomy code 251K00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.