MEDICARE: AIDAN MEDICAL PRODUCTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1447954144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIDAN MEDICAL PRODUCTS INC

Provider Business Mailing Address
First Line	:	1971 E BELTLINE AVE NE STE 106-205
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-7045
Country	:	US
Telephone Number	:	616-245-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 OAK INDUSTRIAL DR NE STE 115
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49505-6037
Country	:	US
Telephone Number	:	616-245-6500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFF HUNT
Credential	:
Telephone Number	:	616-245-6500

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	02/05/2024

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