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Contact Information

ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
2373 64TH ST SW STE 2700
BYRON CENTER, MI49315-7978
 Phone: 616-465-5910
 Fax: 616-465-5911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP

NPI Number 1003515008
LBN Legal business name ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
Authorized official DANIEL GREEN - (VP FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2023
Last updated 10/10/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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