Provider Demographics
NPI:1336232917
Name:RAI CARE CENTERS OF MICHIGAN II, LLC
Entity Type:Organization
Organization Name:RAI CARE CENTERS OF MICHIGAN II, LLC
Other - Org Name:FRESENIUS MEDICAL CARE WEST NORTON-MUSKEGON
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 1:1080 W NORTON AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4108
Mailing Address - Country:US
Mailing Address - Phone:231-780-5468
Mailing Address - Fax:231-780-5410
Practice Address - Street 1:1080 W NORTON AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-4108
Practice Address - Country:US
Practice Address - Phone:231-780-5468
Practice Address - Fax:231-780-5410
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-02
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
MI08951OtherBCBS
MI09467OtherBCBS
MI404846084Medicaid
MI08951OtherBCBS
MI09467OtherBCBS