EXALTA HEALTH NPI 1588840854

NPI Information

EXALTA HEALTH is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EXALTA HEALTH NPI is 1588840854. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2060 DIVISION AVE S
GRAND RAPIDS, MI
ZIP 49507-029
Phone: (616) 475-8446

The provider's authorized official is William Paxton .
The authorized official title is President and has the following contact phone number (616) 475-1363.

The CLIA number assigned to this NPI record is 23D0955024 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/16/2008 and was last updated on 12/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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