Organization Active NPI

Migun Body Sense

  • Durable Medical Equipment & Medical Supplies
  • Bay City, MI
National Provider Identifier
1447242292
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIGUN BODY SENSE
Practice address
904 Washington Ave
Bay City, MI 48708-5718
Phone
(989) 893-9480
Fax
(989) 893-9481
NPI assigned
Aug 18, 2005
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Sally I Vansickle
Title
Owner
Phone
(989) 893-9480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

904 Washington Ave
Bay City, MI 48708-5718

Mailing address

1614 19TH St
Bay City, MI 48708-7400
Phone (989) 893-9480

Other identifiers 1

IdentifierTypeStateIssuer
54-0-29-1070-0OtherMIBCBSN-MI

National Provider Directory

National Provider Directory

Locations

904 Washington Ave
Bay City, MI 48708
Phone (989) 893-9480

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1447242292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 19TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087400",
            "telephone_number": "989-893-9480",
            "fax_number": "989-893-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085718",
            "telephone_number": "989-893-9480",
            "fax_number": "989-893-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUN BODY SENSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "VANSICKLE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-893-9480"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSN-MI",
            "identifier": "54-0-29-1070-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.