Healthy Family Physicians Pc

LBN: Healthy Family Physicians Pc
Healthy Family Physicians Pc is an health care organization with primary practice located at 2021 44Th St Se Suite C, Grand Rapids MI 49508-5349. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Healthy Family Physicians Pc can be contacted via phone (616) 827-2020, or through Blanco, Ruperto Divino via phone (616) 827-2020.

Contact Information

Primary practice address
2021 44Th St Se Suite C Grand Rapids MI 49508-5349
Phone: (616) 827-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blanco, Ruperto Divino Doctor of Medicine (MD)
Phone: (616) 827-2020

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Michigan

Profile Details

NPI number 1922174218
LBN Legal business name Healthy Family Physicians Pc
DBA Doing business as
Authorized official Blanco, Ruperto Divino Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1922174218 NPPES
Michigan Other 1790736643 NPI FOR DR. BLANCO

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