Grand Rapids Home For Veterans

LBN: State Of Michigan
Grand Rapids Home For Veterans is an health care organization with primary practice located at 3000 Monroe Ave Ne , Grand Rapids MI 49505-3313. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. State Of Michigan can be contacted via phone (616) 364-5355, or through Carlson, John William via phone (616) 364-5355.

Contact Information

Primary practice address
3000 Monroe Ave Ne Grand Rapids MI 49505-3313
Phone: (616) 364-5355
Fax: (616) 364-5260
Website:
Map and Directions
Authorized official contact:
Name: Carlson, John William RPH
Phone: (616) 364-5355

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 5301000666 Michigan

Profile Details

NPI number 1093819229
LBN Legal business name State Of Michigan
DBA Doing business as Grand Rapids Home For Veterans
Authorized official Carlson, John William RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Oct 19th, 2016 - about 8 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 1093819229 NPPES
Michigan Other 2353631 NABP NUMBER
Michigan Other 5301000666 NABP NUMBER

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