Provider Demographics
NPI:1477533438
Name:BI MED LLC
Entity Type:Organization
Organization Name:BI MED LLC
Other - Org Name:ADVANCED CARE MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:JED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-323-8280
Mailing Address - Street 1:8170 23 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4502
Mailing Address - Country:US
Mailing Address - Phone:586-791-6131
Mailing Address - Fax:586-731-6261
Practice Address - Street 1:8170 23 MILE RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4502
Practice Address - Country:US
Practice Address - Phone:586-791-6131
Practice Address - Fax:586-731-6261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4493485Medicaid
MI4493485Medicaid