GRAND TRAVERSE HEART INSTITUTE NPI 1801881461

NPI Information

  • NPI: 1801881461
  • Provider Name: GRAND TRAVERSE HEART INSTITUTE
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: GRAND TRAVERSE HEART ASSOCIATES
  • Address: 1200 SIXTH ST
    SUITE 200
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 935-5800

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NPI Details

GRAND TRAVERSE HEART INSTITUTE is a clinic center in Traverse City, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GRAND TRAVERSE HEART INSTITUTE NPI is 1801881461. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Traverse Heart Associates.

The provider's business location address is:

1200 SIXTH ST
SUITE 200
TRAVERSE CITY, MI
ZIP 49684-369
Phone: (231) 935-5800
Fax: (231) 935-5822

The provider's authorized official is Bonnie L Supina .
The authorized official title is Billing Director and has the following contact phone number (231) 935-5743.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 7/21/2022.

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
1261Q00000XClinic/CenterMICHIGANYes

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: 3/30/2025

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