Provider Demographics
NPI:1124539770
Name:AIRMD HEALTHCARE PC
Entity Type:Organization
Organization Name:AIRMD HEALTHCARE PC
Other - Org Name:BEAT HEALTHCARE, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:ROUWHORST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-402-8353
Mailing Address - Street 1:15161 WILLOWWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-9151
Mailing Address - Country:US
Mailing Address - Phone:616-402-8353
Mailing Address - Fax:
Practice Address - Street 1:15161 WILLOWWOOD CT
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-9151
Practice Address - Country:US
Practice Address - Phone:616-402-8353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-22
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center