Blake Woods Medical Park

LBN: Surgical Services Of Michigan, Llc
Blake Woods Medical Park is an health care organization with primary practice located at 2775 Blake Road , Jackson MI 49201-8838. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Surgical Services Of Michigan, Llc can be contacted via phone (517) 787-2906, or through Day, Brooke A via phone (517) 787-2906.

Contact Information

Primary practice address
2775 Blake Road Jackson MI 49201-8838
Fax: (517) 787-3039
Website:
Authorized official contact:
Name: Day, Brooke A

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1588631832
LBN Legal business name Surgical Services Of Michigan, Llc
DBA Doing business as Blake Woods Medical Park
Authorized official Day, Brooke A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 27th, 2011 - about 13 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 1588631832 NPPES
Michigan Other 490003502 RAILROAD MEDICARE
Michigan Other 40366 RAILROAD MEDICARE
Michigan Other 490C870000 RAILROAD MEDICARE
Michigan Other 40366 RAILROAD MEDICARE

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