Provider Demographics
NPI:1437477619
Name:NPS ASSOCIATES, LLC
Entity Type:Organization
Organization Name:NPS ASSOCIATES, LLC
Other - Org Name:GREAT LAKES BAY SURGERY & ENDSCOPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-839-6636
Mailing Address - Street 1:PO BOX 1702
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48641-1702
Mailing Address - Country:US
Mailing Address - Phone:989-839-6636
Mailing Address - Fax:989-839-0021
Practice Address - Street 1:4011 ORCHARD DR
Practice Address - Street 2:STE. 3008
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6190
Practice Address - Country:US
Practice Address - Phone:989-839-6636
Practice Address - Fax:989-839-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical