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ACTIVE HEALTHCARE SUPPLIES INC NPI 1265758965


NPI Information

NPI: 1265758965
Provider Name: ACTIVE HEALTHCARE SUPPLIES, INC

Doing Business As: ACTIVE HEALTHCARE SUPPLIES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1080 S VAN DYKE RD
SUITE D
BAD AXE, MI
ZIP 48413
Phone: (989) 269-5400
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ACTIVE HEALTHCARE SUPPLIES, INC is a durable medical equipment medical supplies in Bad Axe, MI. The provider is 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. ACTIVE HEALTHCARE SUPPLIES, INC NPI is 1265758965. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Healthcare Supplies.

The provider's business location address is:

1080 S VAN DYKE RD
SUITE D
BAD AXE, MI
ZIP 48413-635
Phone: (989) 269-5400
Fax: (989) 269-5420

The provider's authorized official is Elias Kabban .
The authorized official title is President and has the following contact phone number (989) 550-4035.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 12/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000000000MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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