1962505982 NPI number — HURLEY-BINSONS MEDICAL EQUIPMENT, INC.

Table of content: (NPI 1962505982)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962505982 NPI number — HURLEY-BINSONS MEDICAL EQUIPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HURLEY-BINSONS MEDICAL EQUIPMENT, 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:
H-CARE
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:
1962505982
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
G4433 MILLER ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLINT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48507-2969
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
810-733-0280
Provider Business Mailing Address Fax Number:
810-720-3835

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9171 LAPEER RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
DAVISON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48423-3617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-653-9188
Provider Business Practice Location Address Fax Number:
810-658-2742
Provider Enumeration Date:
09/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
THOM
Authorized Official First Name:
PHILIP
Authorized Official Middle Name:
GERARD
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
810-733-0280

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0990512 . This is a "HEALTHPLUS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 2713937 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 540B50331 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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