1427051473 NPI number — OAKVIEW MEDICAL CARE FACILITY

Employer Identification Number (EIN)	:
Provider Organization Name (Legal Business Name)	:	OAKVIEW MEDICAL CARE FACILITY
Provider Last Name (Legal Name)	:
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NPI Number	:	1427051473
Entity Type Code	:	Organization
Replacement NPI	:
Last Update Date	:	07/08/2007
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Provider First Line Business Mailing Address	:	1001 DIANA ST
Provider Second Line Business Mailing Address	:
Provider Business Mailing Address City Name	:	LUDINGTON
Provider Business Mailing Address State Name	:	MI
Provider Business Mailing Address Postal Code	:	494311908
Provider Business Mailing Address Country Code	:	US
Provider Business Mailing Address Telephone Number	:	2318455185
Provider Business Mailing Address Fax Number	:	2318457957

Provider First Line Business Practice Location Address	:	1001 DIANA ST
Provider Second Line Business Practice Location Address	:
Provider Business Practice Location Address City Name	:	LUDINGTON
Provider Business Practice Location Address State Name	:	MI
Provider Business Practice Location Address Postal Code	:	494311908
Provider Business Practice Location Address Country Code	:	US
Provider Business Practice Location Address Telephone Number	:	2318455185
Provider Business Practice Location Address Fax Number	:	2318457957
Provider Enumeration Date	:	05/23/2005

Authorized Official Last Name	:	WHITE
Authorized Official First Name	:	NORMAN
Authorized Official Middle Name	:	J
Authorized Official Title or Position	:	DIRECTOR OF FINANCIAL SERVICES
Authorized Official Telephone Number	:	2318455185

• Taxonomy code: 314000000X , with the licence number:  538510 , registered in the state of MI .

• Identifier: 2085286 , issued by the state of ( MI ) . This identifiers is of the category "".
• Identifier: 235072 , issued by the state of ( MI ) . This identifiers is of the category "".