<Unavail>

LBN: Saint Marys Home Infusion Program
<Unavail> is an health care organization with primary practice located at 360 Division Ave S Ste #1D, Grand Rapids MI 49503-4501. The organization recently has 8 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Saint Marys Home Infusion Program can be contacted via phone (616) 685-1111, or through Gusho, Michael Paul via phone (231) 672-3886.

Contact Information

Primary practice address
360 Division Ave S Ste #1D Grand Rapids MI 49503-4501
Phone: (616) 685-1111
Fax: (616) 685-1122
Website:
Map and Directions
Authorized official contact:
Name: Gusho, Michael Paul
Phone: (231) 672-3886

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007544 Michigan
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1841233574
LBN Legal business name Saint Marys Home Infusion Program
DBA Doing business as <Unavail>
Authorized official Gusho, Michael Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 26th, 2025 - about last year

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 1841233574 NPPES
Michigan MEDICAID 4440561
Michigan Other 2046108

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