Provider Demographics
NPI:1598847832
Name:B&H MEDICAL LLC
Entity Type:Organization
Organization Name:B&H MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMPLAINCE
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-425-5637
Mailing Address - Street 1:PO BOX 401612
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-9612
Mailing Address - Country:US
Mailing Address - Phone:734-425-5637
Mailing Address - Fax:734-425-5713
Practice Address - Street 1:28438 JOY RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-4133
Practice Address - Country:US
Practice Address - Phone:734-425-5637
Practice Address - Fax:734-425-5713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0H20230OtherBCBS PROVIDER NUMBER
MI4641926Medicaid
MI0H20230OtherBCBS PROVIDER NUMBER