Provider Demographics
NPI:1942563861
Name:TMS SERVICES NORTH, PLC
Entity Type:Organization
Organization Name:TMS SERVICES NORTH, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:FELIX
Authorized Official - Last Name:OXHOLM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:231-421-8283
Mailing Address - Street 1:4020 COPPER VW
Mailing Address - Street 2:SUITE 211
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-7098
Mailing Address - Country:US
Mailing Address - Phone:231-421-8283
Mailing Address - Fax:231-421-8284
Practice Address - Street 1:4020 COPPER VW
Practice Address - Street 2:SUITE 211
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-7098
Practice Address - Country:US
Practice Address - Phone:231-421-8283
Practice Address - Fax:231-421-8284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101010993251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI265800431OtherBCBS
MIP00134275OtherRR MEDICARE
MI265800431OtherBCBS
MIP00134275OtherRR MEDICARE