Active NPI
Modern Medical Services, Inc
- Durable Medical Equipment & Medical Supplies
- Cheboygan, MI
National Provider Identifier
1902948805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MODERN MEDICAL SERVICES, INC
- Practice address
- 127 N. Main Street
Retail Pharmacy
Cheboygan, MI 49721 - Phone
- (231) 627-9949
- Fax
- (231) 627-8294
- NPI assigned
- Feb 14, 2007
- Last updated
- Feb 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Geralyn Marie Kane
- Title
- President
- Phone
- (231) 627-9949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
127 N. Main Street
Retail Pharmacy
Cheboygan, MI 49721
Mailing address
P.O. Box 345
Cheboygan, MI 49721
Phone (231) 627-9949
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540A602530 | Other | MI | BLUE CROSS |
| 2700732 | Medicaid | MI | |
| 872700732 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
127 N Main St
Cheboygan, MI 49721
Phone (231) 627-9949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487203200000",
"number": "1902948805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 345",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "49721",
"telephone_number": "231-627-9949",
"fax_number": "231-627-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 N. MAIN STREET",
"address_2": "RETAIL PHARMACY",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "49721",
"telephone_number": "231-627-9949",
"fax_number": "231-627-8294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN MEDICAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2017-02-16",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "GERALYN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-627-9949",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "540A602530",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2700732",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "872700732",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheboygan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.