EASTERN CLINIC PLLC
NPI 1942675426
Clinic/Center - Methadone in Grand Rapids, MI

Active since December 09, 2015
1555 EASTERN AVE SE, GRAND RAPIDS, MI 49507(616) 243-6262(616) 243-6969 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastern Clinic Pllc NPPES

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

EASTERN CLINIC PLLC (NPI 1942675426) is a healthcare organization registered as a methadone in Grand Rapids, Michigan and active in the NPI registry since December 2015. The organization lists Daryl Smith, Program Director, as its authorized official.

NPPES Registry Identity

NPI1942675426
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameEASTERN CLINIC PLLC
Location Address1555 EASTERN AVE SEGrand Rapids, MI 49507-2055
Mailing Address1555 Eastern Ave SeGrand Rapids, MI 49507-2055 · (616) 243-6262 · Fax (616) 243-6969
Fax(616) 243-6969
Organization SubpartNo
Authorized OfficialDaryl SmithProgram Director · (616) 243-6262
Enumeration DateDecember 9, 2015
NPI 1942675426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License Licensed in MI · SA0410165
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

1555 EASTERN AVE SE, Grand Rapids, MI 49507

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 Eastern Clinic PLLC's NPI number?

The NPI number for Eastern Clinic PLLC is 1942675426. It was assigned to this organization in the NPPES registry on December 9, 2015.

Where is Eastern Clinic PLLC located?

Eastern Clinic PLLC is located at 1555 Eastern Ave SE, Grand Rapids, MI 49507. The listed phone number is (616) 243-6262.

What is Eastern Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Eastern Clinic PLLC was last updated on December 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.