BCBS 1111 FULTON
NPI 1346329570
Community/Behavioral Health in Grand Haven, MI

Q: What is Ottawa County Cmh's NPI number?

The NPI number for Ottawa County Cmh is 1346329570. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is also known as Bcbs 1111 Fulton.

Q: What is Ottawa County Cmh's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Ottawa County Cmh was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 06, 2006

1111 FULTON ST, GRAND HAVEN, MI 49417(616) 842-5350(616) 842-0886 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bcbs 1111 Fulton NPPES

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

BCBS 1111 FULTON (NPI 1346329570) is a healthcare organization registered as a community/behavioral health in Grand Haven, Michigan and active in the NPI registry since November 2006. The organization lists Gerard Cyranowski, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1346329570

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameOTTAWA COUNTY CMH

Location Address1111 FULTON STGrand Haven, MI 49417-1569

Mailing Address12265 James StHolland, MI 49424-8613 · (616) 393-5641 · Fax (616) 393-5687

Phone(616) 842-5350

Fax(616) 842-0886

Organization SubpartNo

Authorized OfficialGerard CyranowskiExecutive Director · (616) 393-5649

Enumeration DateNovember 6, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1346329570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1111 FULTON ST, Grand Haven, MI 49417

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Other Names 1

Other NameBcbs 1111 Fulton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 9

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

MARY ELIZABETH DODY WARNOCK LMSW

Social Worker (Clinical)