St. Lukes Primary Care

LBN: St. Lukes Primary Care
St. Lukes Primary Care is an health care organization with primary practice located at 5300 Patterson Ave Se Ste 1-D , Grand Rapids MI 49512. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. St. Lukes Primary Care can be contacted via phone (616) 227-4316, or through Mills, Darlene via phone (616) 227-4316.

Contact Information

Primary practice address
5300 Patterson Ave Se Ste 1-D Grand Rapids MI 49512
Phone: (616) 227-4316
Fax: (616) 227-4632
Website:
Map and Directions
Authorized official contact:
Name: Mills, Darlene Registered Nurse (RN)
Phone: (616) 227-4316

Health care specialties

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

Profile Details

NPI number 1649757071
LBN Legal business name St. Lukes Primary Care
DBA Doing business as
Authorized official Mills, Darlene Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2018
Last updated Jul 27th, 2018 - about 8 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 1649757071 NPPES
Michigan MEDICAID 003005701

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