Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
AIRWAY OXYGEN INC
Active
Organization
AIRWAY OXYGEN INC
Active
Parent organization
GRANITE HOLDINGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANITE HOLDINGS INC
Authorized official
STEPHEN W NYHUIS (PRESIDENT)
(616) 247-3900
Entity
Organization
Contact information
Practice address
2540 28TH ST SW, WYOMING, MI 49519-2106
(616) 328-8780
(616) 328-8782
Mailing address
PO BOX 9950, WYOMING, MI 49509-9918
(616) 247-3900
(616) 247-0776
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5019426
—
MI
01
—
540D10642
BLUE CROSS/BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/05/2009
Last updated
08/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up