Exalta Health

LBN: Exalta Health
Exalta Health is an health care organization with primary practice located at 2060 Division Ave S , Grand Rapids MI 49507-3029. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Exalta Health can be contacted via phone (616) 475-8446, or through Paxton, William via phone (616) 475-1363.

Contact Information

Primary practice address
2060 Division Ave S Grand Rapids MI 49507-3029
Phone: (616) 475-8446
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Paxton, William
Phone: (616) 475-1363

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X LV012688 Michigan

Profile Details

NPI number 1588840854
LBN Legal business name Exalta Health
DBA Doing business as
Authorized official Paxton, William
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2008
Last updated Dec 13th, 2017 - about 9 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 1588840854 NPPES
Michigan MEDICAID 4355710

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