Provider Demographics
NPI:1720594781
Name:MEDICAL RESOURCE MANAGEMENT, INC
Entity Type:Organization
Organization Name:MEDICAL RESOURCE MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYROLL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-385-4698
Mailing Address - Street 1:3408 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-4111
Mailing Address - Country:US
Mailing Address - Phone:269-385-4698
Mailing Address - Fax:
Practice Address - Street 1:3408 MILLER RD
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-4111
Practice Address - Country:US
Practice Address - Phone:269-385-4698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health