Provider Demographics
NPI:1881313807
Name:CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATED
Entity type:Organization
Organization Name:CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANJERNGIE
Authorized Official - Middle Name:CECELIA
Authorized Official - Last Name:NDEBE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C, PHD
Authorized Official - Phone:269-329-2055
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49081-0497
Mailing Address - Country:US
Mailing Address - Phone:616-808-3265
Mailing Address - Fax:616-726-7019
Practice Address - Street 1:3637 CLYDE PARK AVE SW STE 4
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509-4095
Practice Address - Country:US
Practice Address - Phone:616-808-3265
Practice Address - Fax:616-726-7019
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTIAN GLOBAL MEDICAL HEALTHCARE, INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty