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Organization

NORTH OTTAWA COMMUNITY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD J LONGPRE CFO (VP FINANCE)
(616) 842-3600
Entity
Organization

Contact information

Practice address
1445 SHELDON AVE, SUITE 104, GRAND HAVEN, MI 49417-2402
(616) 847-5504
Mailing address
1445 SHELDON AVE, SUITE 104, GRAND HAVEN, MI 49417-2402
(616) 847-5504

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BX2000X
Oxygen Equipment & Supplies (DME)
333600000X
Pharmacy

Other

Enumeration date
10/22/2010
Last updated
10/22/2010
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