1710036827 NPI number — BINSON'S HOSPITAL SUPPLIES, INC.

Table of content: (NPI 1710036827)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710036827 NPI number — BINSON'S HOSPITAL SUPPLIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BINSON'S HOSPITAL SUPPLIES, 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:
Provider Other Organization Name Type Code:
6
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:
1710036827
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26834 LAWRENCE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CENTER LINE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48015-1262
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-755-2300
Provider Business Mailing Address Fax Number:
586-755-2322

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6475 ROCHESTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48085-1306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-828-8400
Provider Business Practice Location Address Fax Number:
248-828-3455
Provider Enumeration Date:
01/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BINSON
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
586-755-2300

Provider Taxonomy Codes

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

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

  • Identifier: 5190347 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 530E00502 . This is a "BCBS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1943271 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




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