1386971711 NPI number — PHYSICIAN'S HOME NETWORK, PLLC

Table of content: (NPI 1386971711)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386971711 NPI number — PHYSICIAN'S HOME NETWORK, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHYSICIAN'S HOME NETWORK, PLLC
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:
1386971711
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3033 ORCHARD VISTA DR SE
Provider Second Line Business Mailing Address:
SUITE 309
Provider Business Mailing Address City Name:
GRAND RAPIDS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49546-7077
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
616-608-7403
Provider Business Mailing Address Fax Number:
616-608-7408

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3033 ORCHARD VISTA DR SE
Provider Second Line Business Practice Location Address:
SUITE 309
Provider Business Practice Location Address City Name:
GRAND RAPIDS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49546-7077
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-608-7403
Provider Business Practice Location Address Fax Number:
616-608-7408
Provider Enumeration Date:
11/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
SMITKO
Authorized Official First Name:
KURTIS
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
616-608-7403

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207QA0505X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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