Medmark Kentwood
LBN: Baymark Of Michigan, Inc.
Medmark Kentwood is an health care organization with primary practice located at 5500 Division Avenue Se , Kentwood MI 49548. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Baymark Of Michigan, Inc. can be contacted via phone (214) 379-3300, or through Andrews, Bond via phone (214) 379-3379.
Contact Information
Primary practice address
5500 Division Avenue Se
Kentwood MI 49548
Phone: (214) 379-3300
Fax: (214) 550-2635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1871099481 |
|---|---|
| LBN Legal business name | Baymark Of Michigan, Inc. |
| DBA Doing business as | Medmark Kentwood |
| Authorized official | Andrews, Bond |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2018 |
| Last updated | Feb 20th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871099481 | NPPES |
| Michigan | Other | OF18038936 | CERT OF OCCUPANCY |
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