Whitney Health Care Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5301005009 Issued in MI

Legal business name

WHITNEY HEALTH CARE SERVICES INC

Practice address

4000 Eastern Sky Dr
Suite 1
Traverse City, MI 49684-7351

Phone

(231) 947-6921

Fax

(231) 947-4579

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James W Bock, RPH

Title

Owner - President

Phone

(231) 943-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Prescription Shop of Traverse City Doing business as

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1972555233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W COMMERCE DR",
            "address_2": "SUITE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849854",
            "telephone_number": "231-943-0600",
            "fax_number": "231-943-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EASTERN SKY DR",
            "address_2": "SUITE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847351",
            "telephone_number": "231-947-6921",
            "fax_number": "231-947-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "231-943-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301005009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1975631",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prescription Shop of Traverse City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayleigh White, DO
• Sarah White, NP
• Shelby Lyn White
• Stephen Scott White, D.C.
• Mark Whiting, DMD
• Charles Whittaker
• Whole Health Regenerative Medicine, PC
• Gregg B Wickstrom, M.D.
• Bridgett Widrig
• Jessica Wiemerslage

• Durable Medical Equipment & Medical Supplies in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.