Organization Active NPI

Bok Medical Service

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MI
National Provider Identifier
1598792491
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BOK MEDICAL SERVICE
Practice address
211 W Ganson St
Ste.110
Jackson, MI 49201-1262
Phone
(517) 784-1857
Fax
(517) 784-4138
NPI assigned
Jun 27, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Basil Obasi Kalu
Title
Owner
Phone
(517) 784-1857

Specialties & licenses 1

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

Addresses

Primary practice location

211 W Ganson St
Ste.110
Jackson, MI 49201-1262

Mailing address

211 West Ganson St,
Ste.110
Jackson, MI 49201
Phone (517) 784-1857

National Provider Directory

National Provider Directory

Locations

211 W Ganson St
Unit 110
Jackson, MI 49201
Phone (517) 784-1857

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1598792491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WEST GANSON ST,",
            "address_2": "STE.110",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "517-784-1857",
            "fax_number": "517-784-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W GANSON ST",
            "address_2": "STE.110",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011262",
            "telephone_number": "517-784-1857",
            "fax_number": "517-784-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOK MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "KALU",
        "authorized_official_first_name": "BASIL",
        "authorized_official_middle_name": "OBASI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-784-1857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.