Provider Demographics
NPI:1639505217
Name:SCHAEFER HEALTH ENTERPRISES INC.
Entity Type:Organization
Organization Name:SCHAEFER HEALTH ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-327-7170
Mailing Address - Street 1:130 E CEDAR ST
Mailing Address - Street 2:PO BOX 515
Mailing Address - City:STANDISH
Mailing Address - State:MI
Mailing Address - Zip Code:48658-2502
Mailing Address - Country:US
Mailing Address - Phone:989-685-2141
Mailing Address - Fax:989-685-3172
Practice Address - Street 1:130 E CEDAR ST
Practice Address - Street 2:
Practice Address - City:STANDISH
Practice Address - State:MI
Practice Address - Zip Code:48658-2502
Practice Address - Country:US
Practice Address - Phone:989-685-2141
Practice Address - Fax:989-685-3172
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCHAEFER HEALTH ENTERPRISES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-16
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1233490002Medicare NSC