Provider Demographics
NPI:1619727625
Name:AMERICAN INTEGRATED CARE, INC
Entity Type:Organization
Organization Name:AMERICAN INTEGRATED CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:N
Authorized Official - Last Name:ERUPE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:616-649-3485
Mailing Address - Street 1:3100 PLAINFIELD AVE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-3261
Mailing Address - Country:US
Mailing Address - Phone:616-649-3485
Mailing Address - Fax:616-649-3523
Practice Address - Street 1:3100 PLAINFIELD AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-3261
Practice Address - Country:US
Practice Address - Phone:616-649-3485
Practice Address - Fax:616-649-3523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care