NPIMap

Organization Active NPI

Healthsource Saginaw, Inc.

Doing business as Healthsource Saginaw

  • Long Term Care Pharmacy
  • Saginaw, MI
National Provider Identifier
1790811123
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5301001791 Issued in MI
Legal business name
HEALTHSOURCE SAGINAW, INC.
Doing business as
Healthsource Saginaw
Practice address
3340 Hospital Rd
Saginaw, MI 48603-9622
Phone
(989) 790-7729
Fax
(989) 790-7723
NPI assigned
Feb 27, 2007
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Sonja Martinez
Title
Chief Financial Officer
Phone
(989) 790-7790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 5301001791 MI Primary

Addresses

Primary practice location

3340 Hospital Rd
Saginaw, MI 48603-9622

Mailing address

3340 Hospital Rd
Saginaw, MI 48603-9622
Phone (989) 790-7729

Other identifiers 3

IdentifierTypeStateIssuer
2324541MedicaidMI
2041773OtherPK
2805206MedicaidMI

Other names 1

  • HEALTHSOURCE SAGINAW Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Roxie Schell9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1790811123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-790-7729",
            "fax_number": "989-790-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-790-7729",
            "fax_number": "989-790-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE SAGINAW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "989-790-7790"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301001791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324541",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041773",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2805206",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHSOURCE SAGINAW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTHSOURCE SAGINAW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.