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ST JOSEPH HEALTH ENTERPRISES NPI 1528122520


NPI Information

NPI: 1528122520
Provider Name: ST JOSEPH HEALTH ENTERPRISES
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 23D1103884

Address:
410 W M 55
TAWAS CITY, MI
ZIP 48763
Phone: (989) 362-8591
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ST JOSEPH HEALTH ENTERPRISES is a durable medical equipment medical supplies in Tawas City, 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. ST JOSEPH HEALTH ENTERPRISES NPI is 1528122520. The provider is registered as an organization entity type.

The provider's business location address is:

410 W M 55
TAWAS CITY, MI
ZIP 48763-239
Phone: (989) 362-8591
Fax: (989) 362-6100

The provider's authorized official is Donna Sandford .
The authorized official title is Cfo and has the following contact phone number (989) 362-8591.

The CLIA number assigned to this NPI record is 23D1103884 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 6/21/2018.


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 SuppliesYes

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
1607014700OTHERMICHIGANUSPS DEPT OF LABOR
2540C50277OTHERMICHIGANBLUE CROSS BLUE SHIELD MI
32693001MEDICAIDMICHIGAN
432665 GRP#39742OTHERMICHIGANCOMMUNITY CHOICE OF MI
5=========OTHERMICHIGANAARP HEALTH CARE OPTIONS

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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