Healthy Family Physicians Pc in Grand Rapids - Primary Care

Healthy Family Physicians Pc - NPI 1922174218

Healthy Family Physicians Pc is a Primary Care in Grand Rapids, Michigan. Healthy Family Physicians Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Healthy Family Physicians Pc is 1922174218. The last update date is 2020-08-22.

Healthy Family Physicians Pc's current location address is 2021 44th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6168272020. The mailing address for Healthy Family Physicians Pc is 2021 44th St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Healthy Family Physicians Pc
Address 2021 44th St Se, Grand Rapids, Michigan
Phone Number 6168272020
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Blanco Divino Ruperto
Credentials M.D.
Telephone Number 6168272020

NPI Number Detail

NPI Number 1922174218
Provider Enumeration Date 2006-11-28
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2021 44th St Se
City Grand Rapids
State Michigan (MI)
Post Code 495085349
Phone Number 6168272020
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1790736643 MI NPI FOR DR. BLANCO

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FAQs about Healthy Family Physicians Pc

What is the unique identification code assigned to Healthy Family Physicians Pc by the Centers for Medicare & Medicaid Services?

The Healthy Family Physicians Pc has been issued the NPI (National Provider Identifier) 1922174218. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Healthy Family Physicians Pc?

The Healthy Family Physicians Pc is situated at 2021 44Th St Se, in the city of Grand Rapids, state of MI, with the zip code 495085349.

What is the area of specialization for Healthy Family Physicians Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Healthy Family Physicians Pc is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1922174218 to Healthy Family Physicians Pc?

The Healthy Family Physicians Pc received its 1922174218 assignment from the Centers for Medicare & Medicaid Services on 2006-11-28.

As of what date was the information pertaining to Healthy Family Physicians Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Healthy Family Physicians Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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