1154305993 NPI number — THE STANDING COMPANY

Table of content: (NPI 1154305993)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154305993 NPI number — THE STANDING COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE STANDING COMPANY
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:
1154305993
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5848 DIXIE HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAGINAW
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48601-5967
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-746-9100
Provider Business Mailing Address Fax Number:
989-746-9185

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5848 DIXIE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAGINAW
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48601-5967
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-746-9100
Provider Business Practice Location Address Fax Number:
989-746-9185
Provider Enumeration Date:
12/05/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MACZIK
Authorized Official First Name:
RAYMOND
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT / OWNER
Authorized Official Telephone Number:
989-746-9100

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 200269910A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 115415 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200417820A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90008830 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 540G30369 . This is a "BCBSM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 0579391 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100393960A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1154305993 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1646919 . This is a "HIGHMARK BCBS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1024260920001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200501620A . This is a "INDIANA MEDICAID WAIVER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 81157900 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: V797D-50576 . This is a "VETERANS ADMINISTRATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2330516 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 872687470 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




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