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Contact Information

ADVANCED WOUND CARE, LLC
2363 W JEFFERSON AVE
SUITE 219
TRENTON, MI48183-2705
 Phone: 734-362-8630
 Fax: 734-362-8631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ADVANCED WOUND CARE, LLC

NPI # 1043366677
LBN Legal business name ADVANCED WOUND CARE, LLC
Authorized official JEFFREY COBB - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2007
Last updated 03/20/2009 - About 17 years ago
Identifiers
MI Medicaid 874963400
MI Other 540H27190 BCBS OF MI
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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