Provider Demographics
NPI:1740346600
Name:HEALTH DIMENSIONS INC
Entity type:Organization
Organization Name:HEALTH DIMENSIONS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:POPYK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:248-489-1573
Mailing Address - Street 1:39303 COUNTRY CLUB DRIVE
Mailing Address - Street 2:A26
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331
Mailing Address - Country:US
Mailing Address - Phone:248-489-1573
Mailing Address - Fax:248-489-1586
Practice Address - Street 1:39303 COUNTRY CLUB DRIVE
Practice Address - Street 2:A26
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331
Practice Address - Country:US
Practice Address - Phone:248-489-1573
Practice Address - Fax:248-489-1586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301006453332B00000X, 3336C0003X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1150060001Medicare NSC