Organization
MICHIGAN MEDICAL PATIENT CARE
Active
Organization
MICHIGAN MEDICAL PATIENT CARE
Active
Parent organization
MICHIGAN MEDICAL PATIENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN MEDICAL PATIENT CARE
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization
Contact information
Practice address
3800 LAKE MICHIGAN DR NW, SUITE A, GRAND RAPIDS, MI 49534-4583
(616) 453-8225
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D10167
BCBS DME SUPPLIER PIN
MI
Enumeration date
12/15/2006
Last updated
03/02/2010
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