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Contact Information

CHARLEVOIX NURSING HOME CORPORATION
14676 W UPRIGHT ST
CHARLEVOIX, MI49720-1201
 Phone: 231-547-1005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CHARLEVOIX NURSING HOME CORPORATION

NPI # 1508962069
LBN Legal business name CHARLEVOIX NURSING HOME CORPORATION
Authorized official DAVID BELLAMY - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2006
Last updated 08/28/2017 - About 9 years ago
Identifiers
MI License # 235526
MI Medicaid 2896882
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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