MARQUIS ENTERPRISES, LLC


Address: 3205 Soft Water Lake Dr Ne, Suite 104 B, Grand Rapids, MI 49525-2748
Phone: 6166087555

MARQUIS ENTERPRISES, LLC (NPI# 1700119302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700119302
Entity Type Organization
Organization Name MARQUIS ENTERPRISES, LLC
Practice Address 3205 Soft Water Lake Dr Ne
Suite 104 B
Grand Rapids
MI 49525-2748
Practice Telephone 6166087555
Practice Fax Number 6166087555
Mailing Telephone 6166087555
Mailing Fax Number 6166087555
Enumeration Date 2009-09-14
Last Update Date 2009-09-14
Authorized Official Name MARY KAY JOUPPI (OWNER)
Authorized Official Telephone 6166087555
Authorized Official Credential RN, BSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 4704089611 MI Behavioral Health & Social Service Providers
N 163WA2000X Registered Nurse
Specialization: Administrator
4704089611 MI Nursing Service Providers
N 171W00000X Contractor 4704089611 MI Other Service Providers
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
4704089611 MI Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Marquis Enterprises, LLC 14713 Stoney Creek Way, Broomfield, CO 80020

Office Location

Street Address 3205 SOFT WATER LAKE DR NE
SUITE 104 B
City GRAND RAPIDS
State MI
Zip Code 49525-2748

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City GRAND RAPIDS
Zip Code 49525

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Dataset Information

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.

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