MEDICARE: CARELINC MEDICAL EQUIPMENT & SUPPLY CO LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BN1400X	Nursing Facility Supplies (DME)
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	332BX2000X	Oxygen Equipment & Supplies (DME)
5	335E00000X	Prosthetic/Orthotic Supplier
6	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	540D10532	OTHER	MI	BLUE CROSS BLUE SHEILD

General Provider Information

NPI Number	:	1972513281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARELINC MEDICAL EQUIPMENT & SUPPLY CO LLC

Provider Business Mailing Address
First Line	:	89 54TH ST SW
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49548-5609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	407 E CHICAGO ST
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-2044
Country	:	US
Telephone Number	:	517-279-9999
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MIKE DAMSTRA
Credential	:
Telephone Number	:	616-249-2273

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	06/14/2011

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Directions to “CARELINC MEDICAL EQUIPMENT & SUPPLY CO LLC ” Practice Location

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