Organization
ALPINE MEDICAL SUPPLY & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA L WHITENIGHT (OFFICE MANAGER)
(231) 258-8200
Entity
Organization
Contact information
Practice address
333 MAGAZINE ST, STE 103, SAULT SAINTE MARIE, MI 49783-1867
(906) 632-4400
(231) 258-8204
Mailing address
PO BOX 478, KALKASKA, MI 49646-0478
(231) 258-8200
(231) 258-8204
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
335E00000X
Prosthetic/Orthotic Supplier
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4699720
—
MI
01
—
510A710580
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/28/2007
Last updated
07/21/2022
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