Grandvue Medical Care Facility

LBN: County Of Charlevoix
Grandvue Medical Care Facility is an health care organization with primary practice located at 1728 S Peninsula Rd , East Jordan MI 49727-9410. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. County Of Charlevoix can be contacted via phone (231) 536-2286, or through Evans, Kevin via phone (231) 536-2286.

Contact Information

Primary practice address
1728 S Peninsula Rd East Jordan MI 49727-9410
Phone: (231) 536-2286
Fax: (231) 536-2476
Website:
Map and Directions
Authorized official contact:
Name: Evans, Kevin
Phone: (231) 536-2286

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 158510 Michigan

Profile Details

NPI number 1447216478
LBN Legal business name County Of Charlevoix
DBA Doing business as Grandvue Medical Care Facility
Authorized official Evans, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 20th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447216478 NPPES
Michigan MEDICAID 2085179

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