1700213899 NPI number — ACQUISITION BELL HOSPITAL LLC

Table of content: (NPI 1700213899)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700213899 NPI number — ACQUISITION BELL HOSPITAL LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACQUISITION BELL HOSPITAL LLC
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:
BELL HOSPITAL PHARMACY
Provider Other Organization Name Type Code:
3
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:
1700213899
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
901 LAKESHORE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ISHPEMING
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49849-1367
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
906-485-2797
Provider Business Mailing Address Fax Number:
906-485-2754

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
901 LAKESHORE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ISHPEMING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49849-1367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-485-2797
Provider Business Practice Location Address Fax Number:
906-485-2754
Provider Enumeration Date:
10/03/2013

Additional Information

Authorized Official

Authorized Official Last Name:
DILLON
Authorized Official First Name:
TERRANCE
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT SECRETARY
Authorized Official Telephone Number:
502-596-7220

Provider Taxonomy Codes

  • Taxonomy code: 3336I0012X , with the licence number:  5301010240 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2143929 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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