ALICE CAROLE SMITH (NPI# 1174706204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174706204 |
| Entity Type | Organization |
| Organization Name | ALICE CAROLE SMITH |
| Other Organization Name | DIABETIC CENTER |
| Practice Address |
1406 S Westnedge Ave Kalamazoo MI 49008-1371 |
| Practice Telephone | 2693832350 |
| Mailing Telephone | 2693832350 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | ALICE CAROLE SMITH (OWNER) |
| Authorized Official Telephone | 2693832350 |
| Authorized Official Credential | R.N., B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | OC90305 | 01 |
| MI | 1957419 | 05 |
| Other Name | Type Code |
|---|---|
| Diabetic Center | Former Legal Business Name - Organization |
| Street Address |
1406 S WESTNEDGE AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750741757 | Woodward Detroit Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2600 W. Michigan Ave, Kalamazoo, MI 49006-5502 | 2016-03-03 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1942693080 | Access Medical, LLC | Durable Medical Equipment & Medical Supplies | 3605 S Burdick St, Building 1, Kalamazoo, MI 49001-4893 | 2015-03-13 |
| 1013221134 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 2600 B Millcork St, Kalamazoo, MI 49001-4647 | 2010-07-30 |
| 1194041921 | Bethany Janel Daniel | Durable Medical Equipment & Medical Supplies | 1406 S. Westnedge Ave., Kalamazoo, MT 49008-1371 | 2010-04-19 |
| 1295922094 | Prange Family Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 2121 Hudson Ave, Suite 105, Kalamazoo, MI 49008-2379 | 2007-09-26 |
| 1760532089 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 5350 W Main St, Kalamazoo, MI 49009-3304 | 2007-01-11 |
| 1609925015 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 6660 W Main St, Kalamazoo, MI 49009-3962 | 2007-01-09 |
| 1215095724 | Hill-rom Company, Inc | Durable Medical Equipment & Medical Supplies | 4301 Manchester Rd, Ste E, Kalamazoo, MI 49001-0833 | 2006-12-05 |
| 1386702173 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 4200 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2006-12-05 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.