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CHARLES EDWARD PAVEY NPI 1417065327


NPI Information

NPI: 1417065327
Provider Name: CHARLES EDWARD PAVEY

Doing Business As: MEDCARE SERVICE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
18822 MONICA DR
CLINTON TWP, MI
ZIP 48036
Phone: (586) 469-0622
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CHARLES EDWARD PAVEY is a durable medical equipment medical supplies in Clinton Twp, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CHARLES EDWARD PAVEY NPI is 1417065327. The provider is registered as an organization entity type.
The provider Is Doing Business As Medcare Service.

The provider's business location address is:

18822 MONICA DR
CLINTON TWP, MI
ZIP 48036-204
Phone: (586) 469-0622
Fax: (586) 469-1392

The provider's authorized official is Charles Edward Pavey .
The authorized official title is President and has the following contact phone number (586) 469-0622.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 9/16/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies0396430001MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13053527MEDICAIDMICHIGAN
2OD403549-54-2MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
30396430001MEDICARE NSCMICHIGAN

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

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