Organization Active NPI

Partners in Health at Quincy Intermed LLC

  • Adult Health Nurse Practitioner
  • Quincy, MI
National Provider Identifier
1972732402
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
PARTNERS IN HEALTH AT QUINCY INTERMED LLC
Practice address
185 E Chicago St
Quincy, MI 49082-1165
Phone
(517) 639-5354
Fax
(517) 639-5344
NPI assigned
Jul 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Michelle R Miller, APRN-BC
Title
Owner
Phone
(517) 639-5354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

185 E Chicago St
Quincy, MI 49082-1165

Mailing address

185 E Chicago St
Quincy, MI 49082-1165
Phone (517) 639-5354

Other identifiers 2

IdentifierTypeStateIssuer
4934955MedicaidMI
1932284973OtherMITYPE 1 NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1972732402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E CHICAGO ST",
            "city": "QUINCY",
            "state": "MI",
            "postal_code": "490821165",
            "telephone_number": "517-639-5354",
            "fax_number": "517-639-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E CHICAGO ST",
            "city": "QUINCY",
            "state": "MI",
            "postal_code": "490821165",
            "telephone_number": "517-639-5354",
            "fax_number": "517-639-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN HEALTH AT QUINCY INTERMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-639-5354",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4934955",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1932284973",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.