Provider Demographics
NPI:1871670992
Name:BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.
Other - Org Name:FRESENIUS MEDICAL CARE BIG RAPIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:14307 NORTHLAND DR
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-2369
Mailing Address - Country:US
Mailing Address - Phone:231-527-1622
Mailing Address - Fax:231-527-1644
Practice Address - Street 1:14307 NORTHLAND DR
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-2369
Practice Address - Country:US
Practice Address - Phone:231-527-1622
Practice Address - Fax:231-527-1644
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-01
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
D8946OtherBCBSM
D9456OtherBCBSM
232611OtherMEDICARE/OSCAR