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BAYMARK OF MICHIGAN INC. NPI 1871099481


NPI Information

NPI: 1871099481
Provider Name: BAYMARK OF MICHIGAN, INC.

Doing Business As: MEDMARK KENTWOOD

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
5500 DIVISION AVENUE SE
KENTWOOD, MI
ZIP 49548
Phone: (214) 379-3300
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BAYMARK OF MICHIGAN, INC. is a rehabilitation and substance use disorder clinic center in Kentwood, MI. BAYMARK OF MICHIGAN, INC. NPI is 1871099481. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Kentwood.

The provider's business location address is:

5500 DIVISION AVENUE SE
KENTWOOD, MI
ZIP 49548
Phone: (214) 379-3300
Fax: (214) 550-2635

The provider's authorized official is Bond Andrews .
The authorized official title is Vp, Rcm and has the following contact phone number (214) 379-3379.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 2/20/2019.


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
1261QM2800XClinic/CenterMethadoneNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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
1OF18038936OTHERMICHIGANCERT OF OCCUPANCY

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.