Blue Water Children'S Health Care

LBN: Blue Water Children'S Health Care
Blue Water Children'S Health Care is an health care organization with primary practice located at 3030 Commerce Dr , Fort Gratiot MI 48059-3819. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Blue Water Children'S Health Care can be contacted via phone (810) 385-9559, or through Nandamudi, Dev via phone (810) 385-9559.

Contact Information

Primary practice address
3030 Commerce Dr Fort Gratiot MI 48059-3819
Phone: (810) 385-9559
Fax: (810) 385-9515
Website:
Map and Directions
Authorized official contact:
Name: Nandamudi, Dev Doctor of Medicine (MD)
Phone: (810) 385-9559

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1962003566
LBN Legal business name Blue Water Children'S Health Care
DBA Doing business as
Authorized official Nandamudi, Dev Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2020
Last updated Nov 2nd, 2020 - about 6 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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