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BERGSTROM HOME MEDICAL NPI 1891823308


NPI Information

NPI: 1891823308
Provider Name: BERGSTROM HOME MEDICAL
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
13770 E 14 MILE RD
WARREN, MI
ZIP 48088
Phone: (586) 415-6788
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BERGSTROM HOME MEDICAL is a durable medical equipment medical supplies in Warren, 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. BERGSTROM HOME MEDICAL NPI is 1891823308. The provider is registered as an organization entity type.

The provider's business location address is:

13770 E 14 MILE RD
WARREN, MI
ZIP 48088-487
Phone: (586) 415-6788
Fax: (586) 415-7515

The provider's authorized official is William Dean Bergstrom .
The authorized official title is President and has the following contact phone number (586) 415-6788.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 4/20/2008.


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 Supplies=========MICHIGANYes

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
10518230001MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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

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