University Medical Specialties, Pc

LBN: University Medical Specialties, Pc
University Medical Specialties, Pc is an health care organization with primary practice located at 9045 Us Highway 31 , Berrien Springs MI 49103-1804. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. University Medical Specialties, Pc can be contacted via phone (269) 473-2222, or through Long, Raeann Danene via phone (269) 473-2222.

Contact Information

Primary practice address
9045 Us Highway 31 Berrien Springs MI 49103-1804
Phone: (269) 473-2222
Fax: (269) 473-6880
Website:
Map and Directions
Authorized official contact:
Name: Long, Raeann Danene
Phone: (269) 473-2222

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LH009414 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X FK271098 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X NC007536 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR064962 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LH052398 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X KK081055 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X KK081055 Michigan

Profile Details

NPI number 1902086689
LBN Legal business name University Medical Specialties, Pc
DBA Doing business as
Authorized official Long, Raeann Danene
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2007
Last updated Oct 16th, 2008 - about 17 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 1902086689 NPPES
Michigan Other 680A112130 GROUP MENTAL HEALTH BCBSM PIN
Michigan Other 700A146860 GROUP MENTAL HEALTH BCBSM PIN

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