Organization
NORTH OTTAWA COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORA BOITEN RN (COO)
(616) 846-2015
Entity
Organization
Contact information
Practice address
1071 S BEACON BLVD, GRAND HAVEN, MI 49417-2607
(616) 846-0360
Mailing address
1071 S BEACON BLVD, GRAND HAVEN, MI 49417-2607
(616) 846-0360
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5171570
—
MI
01
—
540G003090
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/27/2005
Last updated
08/09/2013
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