Provider Demographics
NPI:1407241029
Name:BINSONS MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:BINSONS MEDICAL EQUIPMENT INC
Other - Org Name:BINSON'S OUTPATIENT PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHADDI
Authorized Official - Middle Name:
Authorized Official - Last Name:AZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-964-8070
Mailing Address - Street 1:1 HURLEY PLZ STE 100
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503
Mailing Address - Country:US
Mailing Address - Phone:810-262-6370
Mailing Address - Fax:810-262-6379
Practice Address - Street 1:1 HURLEY PLZ STE 100
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5902
Practice Address - Country:US
Practice Address - Phone:810-262-6370
Practice Address - Fax:810-262-6379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
MI53010107623336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151617OtherPK
MI1407241029Medicaid