HEALTHY FAMILY PHYSICIANS PC NPI 1922174218

NPI Information

NPI: 1922174218
Provider Name: HEALTHY FAMILY PHYSICIANS PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2021 44TH ST SE
SUITE C
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 827-2020
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HEALTHY FAMILY PHYSICIANS PC is a primary care clinic center in Grand Rapids, MI. HEALTHY FAMILY PHYSICIANS PC NPI is 1922174218. The provider is registered as an organization entity type.

The provider's business location address is:

2021 44TH ST SE
SUITE C
GRAND RAPIDS, MI
ZIP 49508-349
Phone: (616) 827-2020

The provider's authorized official is Ruperto Divino Blanco .
The authorized official title is Owner and has the following contact phone number (616) 827-2020.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.

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	261QP2300X	Clinic/Center	Primary Care		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	1790736643	OTHER	MICHIGAN	NPI FOR DR. BLANCO

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

NPI Synchronization or Removal

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