Organization Active NPI

Innovative Technologies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • West Branch, MI
National Provider Identifier
1366412249
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
B ME 0148640 Issued in MI
Legal business name
INNOVATIVE TECHNOLOGIES, INC.
Practice address
3217 W M 55
Ste G
West Branch, MI 48661-9179
Phone
(989) 345-7764
Fax
(989) 345-4564
NPI assigned
Jan 24, 2006
Organization subpart
Yes
Parent organization
INNOVATIVE TECHNOLOGIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Steve Armour
Title
Owner / Ceo
Phone
(231) 499-4899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X B ME 0148640 MI Primary

Addresses

Primary practice location

3217 W M 55
Ste G
West Branch, MI 48661-9179

Mailing address

PO Box 562
3217 West M 55
West Branch, MI 48661-0562
Phone (989) 345-7764

Other identifiers 1

IdentifierTypeStateIssuer
540F502640OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Wound Kair Management Doing business as

National Provider Directory

National Provider Directory
Part of
Innovative Technologies Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1366412249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "address_2": "3217 WEST M 55",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486610562",
            "telephone_number": "989-345-7764",
            "fax_number": "989-345-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 W M 55",
            "address_2": "STE G",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619179",
            "telephone_number": "989-345-7764",
            "fax_number": "989-345-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE TECHNOLOGIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE TECHNOLOGIES",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "ARMOUR",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "231-499-4899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "B ME 0148640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540F502640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Kair Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.