# BAXTER COMMUNITY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164625109
- **Authorized official:** MELANIE J BEELEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (616) 456-8593

## Contact information

- **Practice address:** 935 BAXTER SE, GRAND RAPIDS, MI 49506-2500
- **Practice address phone:** (616) 456-8593
- **Practice address fax:** (616) 456-8640
- **Mailing address:** 935 BAXTER SE, GRAND RAPIDS, MI 49506-2500
- **Mailing address phone:** (616) 456-8593
- **Mailing address fax:** (616) 456-8640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 4301057840 | MI | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 08/13/2007