Phoenix Medical Supply, Inc.

LBN: Phoenix Medical Supply, Inc.
Phoenix Medical Supply, Inc. is an health care organization with primary practice located at 21455 Melrose Ave Ste R9 , Southfield MI 48075-7980. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Phoenix Medical Supply, Inc. can be contacted via phone (248) 354-5200, or through Norris, Lillie M via phone (248) 354-5200.

Contact Information

Primary practice address
21455 Melrose Ave Ste R9 Southfield MI 48075-7980
Fax: (248) 354-9638
Website:
Authorized official contact:
Name: Norris, Lillie M

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X 06819C Michigan

Profile Details

NPI number 1881623627
LBN Legal business name Phoenix Medical Supply, Inc.
DBA Doing business as
Authorized official Norris, Lillie M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Apr 10th, 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 1881623627 NPPES
Michigan Other 540F301900 BLUE CROSS AND BLUE SHIEL
Michigan MEDICAID 4315376 BLUE CROSS AND BLUE SHIEL

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