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Organization

HASTINGS ORTHOPEDIC CLINIC

Active
Parent organization
HASTINGS ORTHOPEDIC CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HASTINGS ORTHOPEDIC CLINIC
Authorized official
KENNETH MERRIMAN MD (ORTHOPEDIC SURGEON)
(269) 945-4966
Entity
Organization

Contact information

Practice address
840 COOK RD, HASTINGS, MI 49058-9616
(269) 945-4966
(269) 945-3368
Mailing address
840 COOK RD, HASTINGS, MI 49058-9616
(269) 945-4966
(269) 945-3368

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101378087
MI
05
114206086
MI
05
114316909
MI
01
1205872959
ESL NPI
MI
01
1346373065
GROUP NPI
MI
01
1467480152
KSM NPI
MI
01
1811197593
HOC DME
MI
01
1881639839
JLH NPI
MI
01
200005744
MCR RR
MI
01
200044303
MCR RR
MI
01
200Z800130
BCBS GROUP
MI
01
250011404
MCR RR
MI
01
540Z810220
BCBS DME
MI
01
874704973
MCD DME
MI
Enumeration date
07/20/2007
Last updated
04/23/2008
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