# HEALTH NET OF WEST MICHIGAN

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

## Provider details

- **NPI number:** 1376092064
- **Authorized official:** MAUREEN T KIRKWOOD MPH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (616) 632-1010

## Contact information

- **Practice address:** 620 CENTURY AVE SW, SUITE 210, GRAND RAPIDS, MI 49503-4977
- **Practice address phone:** (616) 726-8204
- **Practice address fax:** (616) 726-8205
- **Mailing address:** 620 CENTURY AVE SW, SUITE 210, GRAND RAPIDS, MI 49503-4977
- **Mailing address phone:** (616) 726-8204
- **Mailing address fax:** (616) 726-8205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2016
- **Last updated:** 09/23/2016