Healthcare Provider Details

I. General information

NPI: 1902808272
Provider Name (Legal Business Name): FOREST VIEW PSYCHIATRIC HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 MEDICAL PARK DR SE
GRAND RAPIDS MI
49546-3671
US

IV. Provider business mailing address

PO BOX 1969
GRAND RAPIDS MI
49501
US

V. Phone/Fax

Practice location:
  • Phone: 616-942-9610
  • Fax:
Mailing address:
  • Phone: 800-968-6866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number1111111
License Number StateMI

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO/SVP
Credential:
Phone: 610-768-3300