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Contact Information

UPPER PENINSULA ASSOCIATION OF RURAL HEALTH SERVICES, INC.
N16088 S. BALSAM 1.5 LANE
SPALDING, MI49886
 Phone: 906-497-5516
 Fax: 906-497-4206
 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 UPPER PENINSULA ASSOCIATION OF RURAL HEALTH SERVICES, INC.

NPI # 1649594284
LBN Legal business name UPPER PENINSULA ASSOCIATION OF RURAL HEALTH SERVICES, INC.
Authorized official DONNA JAKSIC - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/25/2010
Last updated 06/24/2010 - About 16 years ago
Identifiers
MI License # 5301009294
MI Medicaid 1649594284
Other 2374104 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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