Exalta Health is a Specialist in Grand Rapids, Michigan. Exalta Health practices all healthcare services and medical treatments related to Specialist. The NPI Number for Exalta Health is 1588840854. The last update date is 2017-12-13.
Exalta Health's current location address is 2060 Division Ave S, Grand Rapids, Michigan. You can contact this provider via phone number 6164758446. The mailing address for Exalta Health is 2060 Division Ave S, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Exalta Health |
|---|---|
| Address | 2060 Division Ave S, Grand Rapids, Michigan |
| Phone Number | 6164758446 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Paxton William |
| Telephone Number | 6164751363 |
NPI Number Detail
| NPI Number | 1588840854 |
|---|---|
| Provider Enumeration Date | 2008-01-16 |
| Last Updated Date | 2017-12-13 |
Provider Mailing Address Detail
| Address | 2060 Division Ave S |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495073029 |
| Phone Number | 6164758446 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | LV012688 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4355710 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Exalta Health by the Centers for Medicare & Medicaid Services?
The Exalta Health has been issued the NPI (National Provider Identifier) 1588840854 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Exalta Health is physically located?
The Exalta Health is physically situated at the following address: 2060 Division Ave S, Grand Rapids, MI, 495073029.
What is the area of specialization for Exalta Health, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Exalta Health is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588840854 to Exalta Health?
The Centers for Medicare & Medicaid Services originally issued the 1588840854 to Exalta Health on 2008-01-16.
When was the Exalta Health's information last updated?
The Exalta Health's information was last updated on 2017-12-13.