HACKLEY HEALTHCARE EQUIPMENT NPI 1700208444

NPI Information

NPI: 1700208444
Provider Name: HACKLEY HEALTHCARE EQUIPMENT

Doing Business As: MERCY HEALTH HEALTHCARE EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-5335
Get Directions

HACKLEY HEALTHCARE EQUIPMENT is an oxygen equipment and supplies durable medical equipment medical supplies in Grand Rapids, MI. HACKLEY HEALTHCARE EQUIPMENT NPI is 1700208444. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Health Healthcare Equipment.

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-502
Phone: (616) 685-5335
Fax: (616) 685-5325

The provider's authorized official is John M Bryan .
The authorized official title is Ceo and has the following contact phone number (231) 861-3030.

The CLIA number assigned to this NPI record is 23D2123382 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 7/21/2022.

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	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies		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	1640291	MEDICAID	MICHIGAN

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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