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Contact Information

BIG ROCK CANDY MOUNTAIN LLC
2044 S BURDICK ST
KALAMAZOO, MI49001-3662
 Phone: 269-312-0950
 Fax:
 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 BIG ROCK CANDY MOUNTAIN LLC

NPI # 1790533784
LBN Legal business name BIG ROCK CANDY MOUNTAIN LLC
Authorized official WILLIAM COLEMAN - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2024
Last updated 05/07/2024 - About 2 years ago
Identifiers n/a
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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