Provider Demographics
NPI:1902142045
Name:VISITING NURSE ASSOCIATION OF SAGINAW
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF SAGINAW
Other - Org Name:COVENANT VISITING NURSE ASSOCIATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MS
Authorized Official - Phone:989-799-6020
Mailing Address - Street 1:500 S HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-1511
Mailing Address - Country:US
Mailing Address - Phone:989-799-6020
Mailing Address - Fax:989-799-6024
Practice Address - Street 1:600 N MAIN ST
Practice Address - Street 2:SUITE 140
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1152
Practice Address - Country:US
Practice Address - Phone:989-652-1506
Practice Address - Fax:989-652-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6709170002Medicare NSC