Organization
MIDLAND SLEEP CENTRAL
Active
Other names
Midland Sleep Central, Pro-Air Medical Supply & Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY RUSSELL (HR)
(989) 355-1601
Entity
Organization
Contact information
Practice address
415 E MAIN ST, HALE, MI 48739
(989) 355-1601
(989) 355-1606
Mailing address
3668 BAY RD, SAGINAW, MI 48603-2407
(989) 355-1601
(989) 355-1606
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5306004410
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SKM10
—
MI
Enumeration date
08/06/2014
Last updated
01/21/2022
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