1184614810 NPI number — ARM ASSESSMENT REHABILITATION MANAGEMENT INC.

Table of content: (NPI 1184614810)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184614810 NPI number — ARM ASSESSMENT REHABILITATION MANAGEMENT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARM ASSESSMENT REHABILITATION MANAGEMENT INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184614810
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3333 S PENNSYLVANIA AVE
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
LANSING
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48910-4795
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-394-0775
Provider Business Mailing Address Fax Number:
517-394-3211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3333 S PENNSYLVANIA AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48910-4795
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-394-0775
Provider Business Practice Location Address Fax Number:
517-394-3211
Provider Enumeration Date:
10/25/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SHAFER CRANE
Authorized Official First Name:
GAIL
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
517-394-0775

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 03443 . This is a "BLUE CROSS BLUE SHIELD MI" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 2954799 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6400002 . This is a "PHYSICIANS HEALTH PLAN MI" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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