Active NPI
Innovative Technologies, Inc.
- Durable Medical Equipment & Medical Supplies
- West Branch, MI
National Provider Identifier
1366412249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- B ME 0148640
- 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 TECHNOLOGIES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540F502640 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- Wound Kair Management
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.