Extended Care Medical Assoc. Pc

LBN: Extended Care Medical Assoc. Pc
Extended Care Medical Assoc. Pc is an health care organization with primary practice located at 4748 S Knoll Ct , W Bloomfield MI 48323-2520. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Extended Care Medical Assoc. Pc can be contacted via phone (248) 681-1963, or through Harold, Arthur via phone (248) 681-1963.

Contact Information

Primary practice address
4748 S Knoll Ct W Bloomfield MI 48323-2520
Phone: (248) 681-1963
Fax: (248) 681-3524
Website:
Map and Directions
Authorized official contact:
Name: Harold, Arthur Doctor of Osteopathy (DO)
Phone: (248) 681-1963

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AH005640 Michigan

Profile Details

NPI number 1144261488
LBN Legal business name Extended Care Medical Assoc. Pc
DBA Doing business as
Authorized official Harold, Arthur Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144261488 NPPES
Michigan MEDICAID 1704147

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