Great Lakes Heart & Vascular Institute, P.C.
LBN: Great Lakes Heart & Vascular Institute, P.C.
Great Lakes Heart & Vascular Institute, P.C. is an health care organization with primary practice located at 3950 Hollywood Rd Suite 110, Saint Joseph MI 49085-9151. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Great Lakes Heart & Vascular Institute, P.C. can be contacted via phone (269) 985-1000, or through Pow, Thomas K via phone (269) 985-1000.
Contact Information
Primary practice address
3950 Hollywood Rd Suite 110
Saint Joseph MI 49085-9151
Phone: (269) 985-1000
Fax: (269) 983-1627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | TP054928 | Michigan |
Profile Details
| NPI number | 1205911047 |
|---|---|
| LBN Legal business name | Great Lakes Heart & Vascular Institute, P.C. |
| DBA Doing business as | |
| Authorized official | Pow, Thomas K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Apr 15th, 2015 - about 9 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 | 1205911047 | NPPES |
| Michigan | MEDICAID | 4176414 | |
| Michigan | MEDICAID | 4176450 | |
| Michigan | MEDICAID | 3444708 | |
| Michigan | MEDICAID | 4718520 | |
| Michigan | MEDICAID | 4751365 | |
| Michigan | MEDICAID | 4176497 |
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