Green Lake Medical Supply, Inc

LBN: Green Lake Medical Supply, Inc
Green Lake Medical Supply, Inc is an health care organization with primary practice located at 93 Kercheval Ave , Grosse Pointe Farms MI 48236-3600. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Green Lake Medical Supply, Inc can be contacted via phone (313) 882-3900, or through Moorhead, Robert Lee via phone (313) 882-3900.

Contact Information

Primary practice address
93 Kercheval Ave Grosse Pointe Farms MI 48236-3600
Phone: (313) 882-3900
Fax: (313) 882-3947
Website:
Map and Directions
Authorized official contact:
Name: Moorhead, Robert Lee
Phone: (313) 882-3900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Michigan

Profile Details

NPI number 1740401017
LBN Legal business name Green Lake Medical Supply, Inc
DBA Doing business as
Authorized official Moorhead, Robert Lee
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Jul 21st, 2022 - about 2 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 1740401017 NPPES
Michigan MEDICAID 3141989

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