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Contact Information

DOWNRIVER COMMUNITY SERVICES INC
58144 GRATIOT AVE
NEW HAVEN, MI48048
 Phone: 586-339-1075
 Fax: 586-339-1071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DOWNRIVER COMMUNITY SERVICES INC

NPI # 1295032449
LBN Legal business name DOWNRIVER COMMUNITY SERVICES INC
Authorized official CYNTHIA ROUSH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2011
Last updated 03/11/2011 - About 15 years ago
Identifiers
MI License # 5301009501
MI Medicaid 1679571392
Other 2375144 NCPDP PROVIDER IDENTIFICATION NUMBER
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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