Pinecrest Medical Care Facility

LBN: Pinecrest Medical Care Facility
Pinecrest Medical Care Facility is an health care organization with primary practice located at N15995 Main St , Powers MI 49874-9608. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pinecrest Medical Care Facility can be contacted via phone (906) 497-5244, or through Mapes, Richard via phone (906) 497-5244.

Contact Information

Primary practice address
N15995 Main St Powers MI 49874-9608
Fax: (906) 497-5005
Website:
Authorized official contact:
Name: Mapes, Richard

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 558510 Michigan

Profile Details

NPI number 1730186891
LBN Legal business name Pinecrest Medical Care Facility
DBA Doing business as
Authorized official Mapes, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 18th, 2011 - about 14 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 1730186891 NPPES
Michigan Other 09623 BCBSM PROVIDER ID NUMBER
Michigan Other 30413 BCBSM PROVIDER ID NUMBER
Michigan MEDICAID 64 2085277 BCBSM PROVIDER ID NUMBER
Michigan MEDICAID 61 2085277 BCBSM PROVIDER ID NUMBER

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