Source Medical Clinic

LBN: Source Medical Solutions
Source Medical Clinic is an health care organization with primary practice located at 625 Kenmoor Ave Se Ste 301 , Grand Rapids MI 49546-2395. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Source Medical Solutions can be contacted via phone (616) 916-8063, or through Henke, Thomas via phone (616) 916-8063.

Contact Information

Primary practice address
625 Kenmoor Ave Se Ste 301 Grand Rapids MI 49546-2395
Phone: (616) 916-8063
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henke, Thomas Doctor of Osteopathy (DO)
Phone: (616) 916-8063

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1326649120
LBN Legal business name Source Medical Solutions
DBA Doing business as Source Medical Clinic
Authorized official Henke, Thomas Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2020
Last updated Jan 23rd, 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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