Balanced Medical Supply Inc.

Key facts

NPI

1992886600

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

BALANCED MEDICAL SUPPLY INC.

Practice address

130 E Cedar St
Suite 2
Standish, MI 48658-2502

Phone

(989) 846-6328

NPI assigned

Oct 18, 2006

Organization subpart

No

Authorized official

Name

Mrs. Anita Marie Yenna

Title

Sec. Treasury

Phone

(989) 846-6328

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 16, 2012.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1992886600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E CEDAR ST STE 2",
            "address_2": "P.O. BOX 827",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486582502",
            "telephone_number": "989-846-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E CEDAR ST",
            "address_2": "SUITE 2",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486582502",
            "telephone_number": "989-846-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "YENNA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SEC. TREASURY",
        "authorized_official_telephone_number": "989-846-6328",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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