Green Lake Medical Supply, Inc in Grosse Pointe Farms - Durable Medical Equipment & Medical Supplies
Green Lake Medical Supply, Inc - NPI 1740401017
Green Lake Medical Supply, Inc is a Durable Medical Equipment & Medical Supplies in Grosse Pointe Farms, Michigan. Green Lake Medical Supply, Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Green Lake Medical Supply, Inc is 1740401017. The last update date is 2022-07-21.
Green Lake Medical Supply, Inc's current location address is 18530 Mack Ave Ste 411, Grosse Pointe Farms, Michigan. You can contact this provider via phone number 3138823900 and fax number 3138823947. The mailing address for Green Lake Medical Supply, Inc is 18530 Mack Ave Ste 411, Grosse Pointe Farms, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Lake Medical Supply, Inc |
|---|---|
| Address | 18530 Mack Ave Ste 411, Grosse Pointe Farms, Michigan |
| Phone Number | 3138823900 |
| Fax Number | 3138823947 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moorhead Lee Robert |
| Telephone Number | 3138823900 |
NPI Number Detail
| NPI Number | 1740401017 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 18530 Mack Ave Ste 411 |
|---|---|
| City | Grosse Pointe Farms |
| State | Michigan (MI) |
| Post Code | 482363254 |
| Phone Number | 3138823900 |
| Fax Number | 3138823947 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3141989 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Green Lake Medical Supply, Inc by the Centers for Medicare & Medicaid Services?
The Green Lake Medical Supply, Inc has been assigned the NPI (National Provider Identifier) 1740401017 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Green Lake Medical Supply, Inc?
The Green Lake Medical Supply, Inc is situated at 18530 Mack Ave Ste 411, in the city of Grosse Pointe Farms, state of MI, with the zip code 482363254.
What is Green Lake Medical Supply, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Green Lake Medical Supply, Inc is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.
On what date did Green Lake Medical Supply, Inc receive its 1740401017 assignment from the Centers for Medicare & Medicaid Services?
The Green Lake Medical Supply, Inc was assigned its 1740401017 on 2007-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Green Lake Medical Supply, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Green Lake Medical Supply, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.
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