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Contact Information

TRINITY HEALTH - MICHIGAN
5301 E HURON RIVER DR
RM 110
ANN ARBOR, MI48106
 Phone: 734-712-3333
 Fax: 734-712-4545
 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 TRINITY HEALTH - MICHIGAN

NPI Number 1417029034
LBN Legal business name TRINITY HEALTH - MICHIGAN
Authorized official MATTHEW NAVARRE - (GENERAL MANAGER, RETAIL PHARMACY S)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 12/07/2022 - About 3 years ago
Identifiers
MI License # 5301007584
MI Medicaid 1756223
Other 2351942 OTHER ID NUMBER-COMMERCIAL 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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