Provider Demographics
NPI:1093974917
Name:GEORGE C SIMPSON
Entity Type:Organization
Organization Name:GEORGE C SIMPSON
Other - Org Name:SIMPSON HEARING SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:HIS/BC
Authorized Official - Phone:989-743-4103
Mailing Address - Street 1:1980 E KING ST
Mailing Address - Street 2:
Mailing Address - City:CORUNNA
Mailing Address - State:MI
Mailing Address - Zip Code:48817-1562
Mailing Address - Country:US
Mailing Address - Phone:989-743-4103
Mailing Address - Fax:
Practice Address - Street 1:1980 E KING ST
Practice Address - Street 2:
Practice Address - City:CORUNNA
Practice Address - State:MI
Practice Address - Zip Code:48817-1562
Practice Address - Country:US
Practice Address - Phone:989-743-4103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIMPSON'S HEARING SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002176332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1008791OtherMCLAREN HEALTH PLAN
MI540G810440OtherMEDICARE ADVANTAGE
MI0999216OtherHEALTHPLUS
MI4265176Medicaid
MI540G81044OtherBCBSM
MI540G810440OtherMEPSER
MI540G81044OtherMESSA
MI0999216OtherHEALTHPLUS