West Michigan Cardiology

LBN: West Michigan Cardiology, Pc
West Michigan Cardiology is an health care organization with primary practice located at 3210 Eagle Run Dr Ne Ste 100 , Grand Rapids MI 49525-7051. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. West Michigan Cardiology, Pc can be contacted via phone (616) 456-9553, or through Taratuta, Megan A via phone (616) 456-9553.

Contact Information

Primary practice address
3210 Eagle Run Dr Ne Ste 100 Grand Rapids MI 49525-7051
Phone: (616) 456-9553
Fax: (616) 454-5371
Website:
Map and Directions
Authorized official contact:
Name: Taratuta, Megan A
Phone: (616) 456-9553

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X TM058656 Michigan

Profile Details

NPI number 1780770859
LBN Legal business name West Michigan Cardiology, Pc
DBA Doing business as West Michigan Cardiology
Authorized official Taratuta, Megan A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated May 14th, 2024 - about 2 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 1780770859 NPPES
Michigan Other 060E960210 BLUE SHIELD
Michigan Other 161 BLUE SHIELD

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