Organization
KALAMAZOO EMERGENCY ASSOCIATES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRIMES (CFO)
(615) 551-6611
Entity
Organization
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048
(269) 226-6933
(269) 226-6949
Mailing address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(855) 246-8607
(629) 216-0568
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010C960380
BCBS
MI
01
—
010Z310130
BCBS
MI
Enumeration date
05/12/2006
Last updated
01/27/2023
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