Provider Demographics
NPI:1174503122
Name:BROWNS MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:BROWNS MEDICAL EQUIPMENT LLC
Other - Org Name:BROWNS ADVANCED CARE MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-789-7302
Mailing Address - Street 1:1015 W MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-4120
Mailing Address - Country:US
Mailing Address - Phone:517-789-7302
Mailing Address - Fax:517-784-4364
Practice Address - Street 1:1015 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-4120
Practice Address - Country:US
Practice Address - Phone:517-789-7302
Practice Address - Fax:517-784-4364
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWNS MEDICAL EQUIPMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-18
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
MIL2165566332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4392295Medicaid
MI540C803230OtherBCBS OF MICHIGAN
MI540C803230OtherBCBS OF MICHIGAN