CBM HEALTH CARE INC NPI 1124323597

NPI Information

NPI: 1124323597
Provider Name: CBM HEALTH CARE INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
14229 TORREY RD # 2
FENTON, MI
ZIP 48430
Phone: (313) 815-8767
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CBM HEALTH CARE INC is a primary care clinic center in Fenton, MI. CBM HEALTH CARE INC NPI is 1124323597. The provider is registered as an organization entity type.

The provider's business location address is:

14229 TORREY RD # 2
FENTON, MI
ZIP 48430-308
Phone: (313) 815-8767
Fax: (810) 458-4187

The provider's authorized official is Julie A Jernigan .
The authorized official title is Coo/cfo and has the following contact phone number (734) 347-1462.

The enumeration date for this NPI number is 1/17/2011 and was last updated on 3/4/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	4301039079	MICHIGAN	No
2	261QP2300X	Clinic/Center	Primary Care	4307095750	MICHIGAN	No
3	363A00000X	Physician Assistant		5601004426	MICHIGAN	No
4	261QP2300X	Clinic/Center	Primary Care	4301089099	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	MICHIGAN	MEDICAID/MEDICARE #S PENDING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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