Healthcare Provider Details
I. General information
NPI: 1275692477
Provider Name (Legal Business Name): BINSON'S HOSPITAL SUPPLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2006
Last Update Date: 08/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18800 EUREKA RD
SOUTHGATE MI
48195-3166
US
IV. Provider business mailing address
26834 LAWRENCE
CENTER LINE MI
48015-1262
US
V. Phone/Fax
- Phone: 734-281-1800
- Fax: 734-281-9018
- Phone: 586-755-2300
- Fax: 586-755-2322
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
BINSON
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 586-755-2300