Provider Demographics
NPI:1972550580
Name:NOCH PHYSICIAN BILLING COMPANY LLC
Entity Type:Organization
Organization Name:NOCH PHYSICIAN BILLING COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CYCLE ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-844-4510
Mailing Address - Street 1:PO BOX 30516
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48909-8016
Mailing Address - Country:US
Mailing Address - Phone:616-844-4528
Mailing Address - Fax:616-847-5608
Practice Address - Street 1:1309 SHELDON RD
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-2404
Practice Address - Country:US
Practice Address - Phone:616-844-4528
Practice Address - Fax:616-847-5608
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH OTTAWA COUMMUNITY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-28
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI900020778OtherPRIORITY HEALTH
MIDF4619OtherMEDICARE RR GRP
MI050G01452OtherBCBS NP GROUP
MI080G011310OtherBCBSM MD/DO GRP
MI900020778OtherPRIORITY HEALTH