Lifetime Wellness In Internal Medicine & Pediatrics A Division Of Heal

LBN: Healthcare Midwest Pc
Lifetime Wellness In Internal Medicine & Pediatrics A Division Of Heal is an health care organization with primary practice located at 4613 W Main St Suite A, Kalamazoo MI 49006-2645. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Healthcare Midwest Pc can be contacted via phone (269) 488-8672, or through Mckernan, James E via phone (269) 373-4646.

Contact Information

Primary practice address
4613 W Main St Suite A Kalamazoo MI 49006-2645
Phone: (269) 488-8672
Fax: (269) 488-8673
Website:
Map and Directions
Authorized official contact:
Name: Mckernan, James E
Phone: (269) 373-4646

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1093936999
LBN Legal business name Healthcare Midwest Pc
DBA Doing business as Lifetime Wellness In Internal Medicine & Pediatrics A Division Of Heal
Authorized official Mckernan, James E
Entity Organization
Organization subpart 1 Yes
Enumeration date May 1st, 2007
Last updated Aug 11th, 2010 - about 16 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 1093936999 NPPES
Michigan Other 110C913020 BLUE CROSS GRP PIN

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