Macomb Medical Supply Inc

LBN: Macomb Medical Supply Inc
Macomb Medical Supply Inc is an health care organization with primary practice located at 36562 Moravian Dr , Clinton Township MI 48035-1202. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Macomb Medical Supply Inc can be contacted via phone (586) 790-5867, or through Novak, James John via phone (586) 790-5867.

Contact Information

Primary practice address
36562 Moravian Dr Clinton Township MI 48035-1202
Phone: (586) 790-5867
Fax: (586) 790-5916
Website:
Map and Directions
Authorized official contact:
Name: Novak, James John
Phone: (586) 790-5867

Health care specialties

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

Profile Details

NPI number 1346226172
LBN Legal business name Macomb Medical Supply Inc
DBA Doing business as
Authorized official Novak, James John
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
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 1346226172 NPPES
Michigan MEDICAID 3271301
Michigan Other 540EO04450

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