GREAT LAKES WELLNESS SERVICES (NPI# 1811324619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811324619 |
Entity Type | Organization |
Organization Name | GREAT LAKES WELLNESS SERVICES |
Practice Address |
1 Emerald Pointe Linden MI 48451 |
Practice Telephone | 8105887444 |
Mailing Telephone | 8105887444 |
Enumeration Date | 2013-10-11 |
Last Update Date | 2013-10-11 |
Authorized Official Name | MR. RYAN J CAMPS (PRESIDENT) |
Authorized Official Telephone | 8105887444 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Street Address |
1 EMERALD POINTE |
City | LINDEN |
State | MI |
Zip Code | 48451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427439280 | On Point Services Inc | Home Health | 119 S Bridge St, Linden, MI 48451 | 2015-06-17 |
1457411548 | Jeremy Marshall Grove | Dentist | 501 S. Bridge St., Linden, MI 48451 | 2006-12-11 |
1447480777 | Deanna M Frick | Physical Therapist | 319 S Bridge St, Linden, MI 48451 | 2009-07-21 |
1861516239 | Robert Dean Douglas | Optometrist | 12412 Stafford St, Ravenna, MI 48451-0307 | 2007-03-19 |
1649221136 | Paul Daniel Mcewen | Dentist | 510 S Bridge St., Linden, MI 48451-0717 | 2006-05-12 |
1790127553 | Linda C Welch | Physical Therapy Assistant | 12062 Sharp Rd, Linden, MI 48451-8402 | 2013-07-22 |
1952934408 | Grace Madeline Trecha | Student in an Organized Health Care Education/Training Program | 4457 Wood Duck Ct, Linden, MI 48451-8410 | 2020-02-12 |
1760780225 | Kelly Kish-landaal | Speech-Language Pathologist | 4464 Wood Duck Ct, Linden, MI 48451-8410 | 2011-03-08 |
1851742431 | Sandra O'dell | Technician, Other | 13291 Harborview Dr, Linden, MI 48451-8414 | 2016-06-25 |
1841685161 | Debra Marie Willing-tucker | Occupational Therapist | 4284 W Four Lakes Dr, Linden, MI 48451-8427 | 2015-04-02 |
Find all providers in zip 48451 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
1275097487 | Harmony Family Center LLC | Clinic/Center | 50 Filer St Ste 324, Manistee, MI 49660-2727 | 2019-01-22 |
1619477866 | Nichole Sandoval | Clinic/Center | 1427 Pingree Ave, Lincoln Park, MI 48146-2094 | 2018-02-14 |
1457867574 | Physicians Technology, LLC | Clinic/Center | 23 E Front St Ste 200, Monroe, MI 48161-2210 | 2017-12-27 |
1497264022 | Vietmdnet | Clinic/Center | 10948 Thornberry Way, Zeeland, MI 49464-7905 | 2017-09-27 |
1033634688 | In His Hands Family Chiropractic, Pllc | Clinic/Center | 5236 Dumond Ct, Lansing, MI 48917-6001 | 2017-08-04 |
1063952166 | On-demand Scanning LLC | Clinic/Center | 171 Blanche Dr, Troy, MI 48098-2934 | 2017-03-08 |
1982146098 | John Patrick Basler | Clinic/Center | 1006 19th St, Bay City, MI 48708-7348 | 2016-11-07 |
Find all providers with the same taxonomy |
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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.