Organization
TRI-MED, INC.
Active
Other names
Advanced Care Infusion-Shelby
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY JED (MANAGER)
(586) 323-8280
Entity
Organization
Contact information
Practice address
39011 HARPER AVE., CLINTON TWP., MI 48036
(586) 323-8280
(586) 323-8283
Mailing address
39011 HARPER AVE., CLINTON TWP., MI 48036
(586) 323-8280
(586) 323-8283
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
5301006991
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5301006991
MI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
5301006991
MI
3336H0001X
Home Infusion Therapy Pharmacy
Primary
5301006991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00024
BLUE CARE NETWORK
MI
01
—
0P45110
MEDICARE B WPS
MI
05
—
2631401
—
MI
01
—
470E00024
BCBS MI HIT
MI
01
—
540E00477
BCBS MI DME
MI
Enumeration date
10/03/2006
Last updated
07/21/2022
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