Organization
MERRITT MEDICAL & PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS SCOTT MERRITT M.D. (PHYSICIAN/OWNER)
(616) 656-3199
Entity
Organization
Contact information
Practice address
1511 CRYSTAL VALLEY CT SE, CALEDONIA, MI 49316-8118
(616) 656-3199
(616) 656-3199
Mailing address
1511 CRYSTAL VALLEY CT SE, CALEDONIA, MI 49316-8118
(616) 656-3199
(616) 656-3199
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301069990
MI
302R00000X
Health Maintenance Organization
4301069990
MI
313M00000X
Nursing Facility/Intermediate Care Facility
4301069990
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
4301069990
MI
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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