GREATER NILES CARDIOLOGY PC NPI 1215366893

NPI Information

NPI: 1215366893
Provider Name: GREATER NILES CARDIOLOGY PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
24 N SAINT JOSEPH AVE
SUITE F1
NILES, MI
ZIP 49120
Phone: (269) 687-9575
Get Directions

GREATER NILES CARDIOLOGY PC is a cardiovascular disease internal medicine in Niles, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. GREATER NILES CARDIOLOGY PC NPI is 1215366893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24 N SAINT JOSEPH AVE
SUITE F1
NILES, MI
ZIP 49120-263
Phone: (269) 687-9575
Fax: (269) 687-9596

The provider's authorized official is Tracy L Fortune .
The authorized official title is Office Manager and has the following contact phone number (269) 687-9575.

The enumeration date for this NPI number is 11/5/2013 and was last updated on 1/8/2014.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	4301079120	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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