Health Net Connect Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

HEALTH NET CONNECT INC

Practice address

50496 Pontiac TRL
Suite 700
Wixom, MI 48393-2088

Phone

(248) 896-6240

Fax

(248) 960-8082

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Corky J Davis

Title

Coo

Phone

(248) 896-6240

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1386988707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50496 PONTIAC TRL",
            "address_2": "SUITE 700",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932088",
            "telephone_number": "248-896-6240",
            "fax_number": "248-960-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50496 PONTIAC TRL",
            "address_2": "SUITE 700",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932088",
            "telephone_number": "248-896-6240",
            "fax_number": "248-960-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH NET CONNECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CORKY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "248-896-6240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Wixom, MI
• Providers in Wixom, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.