Organization
VITAL CARE HOME MEDICAL EQUIP INC
Active
Other names
McLaren Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BRYAN (EXECUTIVE ASSISTANT)
(231) 627-2031
Entity
Organization
Contact information
Practice address
994 S MAIN ST, SUITE A, CHEBOYGAN, MI 49721-2265
(231) 627-7157
(231) 597-8202
Mailing address
761 LAFAYETTE AVE, CHEBOYGAN, MI 49721-2117
(231) 627-7157
(231) 597-8202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1318
BLUE CARE NETWORK
MI
05
—
1758504
—
MI
01
—
540F903420
BLUE CROSS BLUE SHIELD
MI
01
—
56741
NORTHWOOD NPN
MI
Enumeration date
02/06/2006
Last updated
12/19/2017
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