GREAT LAKES WELLNESS SERVICES


Address: 1 Emerald Pointe, Linden, MI 48451
Phone: 8105887444

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 1 EMERALD POINTE
City LINDEN
State MI
Zip Code 48451

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1457867574 Physicians Technology, LLC Clinic/Center 23 E Front St Ste 200, Monroe, MI 48161-2210 2017-12-27
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1033634688 In His Hands Family Chiropractic, Pllc Clinic/Center 5236 Dumond Ct, Lansing, MI 48917-6001 2017-08-04
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Competitor

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City LINDEN
Zip Code 48451

Improve Information

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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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