Longevity Center Llc in Grand Rapids - Family Medicine
Longevity Center Llc - NPI 1144499195
Longevity Center Llc is a Family Medicine in Grand Rapids, Michigan. Longevity Center Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Longevity Center Llc is 1144499195. The last update date is 2009-05-14.
Longevity Center Llc's current location address is 2251 E Paris Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169566090 and fax number 6169566099. The mailing address for Longevity Center Llc is 2251 E Paris Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Longevity Center Llc |
|---|---|
| Address | 2251 E Paris Ave Se, Grand Rapids, Michigan |
| Phone Number | 6169566090 |
| Fax Number | 6169566099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Allen Lynn Cheryl |
| Telephone Number | 6168972142 |
NPI Number Detail
| NPI Number | 1144499195 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2009-05-14 |
Provider Mailing Address Detail
| Address | 2251 E Paris Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495462431 |
| Phone Number | 6169566090 |
| Fax Number | 6169566099 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101007920 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1719945 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Longevity Center Llc?
The Longevity Center Llc has been issued the NPI (National Provider Identifier) 1144499195 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Longevity Center Llc is located?
The Longevity Center Llc is situated at the following address: 2251 E Paris Ave Se, Grand Rapids, MI, 495462431.
What is Longevity Center Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Longevity Center Llc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144499195 to Longevity Center Llc?
The Centers for Medicare & Medicaid Services assigned the 1144499195 to Longevity Center Llc on 2008-02-25.
As of what date was the information pertaining to Longevity Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Longevity Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-05-14.
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