Healthcare Provider Details

I. General information

NPI: 1154815173
Provider Name (Legal Business Name): SUMMIT POINTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 COLLEGE ST
BATTLE CREEK MI
49037-3432
US

IV. Provider business mailing address

175 COLLEGE ST
BATTLE CREEK MI
49037-3432
US

V. Phone/Fax

Practice location:
  • Phone: 269-966-1460
  • Fax: 269-966-2844
Mailing address:
  • Phone: 269-966-1460
  • Fax: 269-966-2844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MANDI ELIZABETH QUIGLEY
Title or Position: CORPORATE COMPLIANCE DIRECTOR
Credential:
Phone: 616-644-4383