ADVANTAGE HEALTH CLINIC, FOR MEN, INC – NPI #1316145972
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

ADVANTAGE HEALTH CLINIC, FOR MEN, INC is a provider located in MARSHALL, MI. NPPES has assigned the NPI number 1316145972 to ADVANTAGE HEALTH CLINIC, FOR MEN, INC on July 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 17 years ago on May 29, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANTAGE HEALTH CLINIC, FOR MEN, INC below.

NPI Profile for
ADVANTAGE HEALTH CLINIC, FOR MEN, INC

NPI Number
1316145972
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANTAGE HEALTH CLINIC, FOR MEN, INC
Primary location
18625 CENTENNIAL RD
SUITE D
MARSHALL, MI 49068-9372
Phone: (269) 789-1900 Fax: (269) 789-1974
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA IGNATOSKI
MANAGER
Phone: (269) 789-1900
Updated
Identifiers

Identifiers for ADVANTAGE HEALTH CLINIC, FOR MEN, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDMI700A310290
OTHERGROUP NPIMI1316145972
OTHERINDIVIDUAL NPIMI1952416877
OTHERLICENSE NUMBERMI4301055180
OTHERMICHIGAN LICENSE NUMBERMICR033625
OTHERNPIMI1952416877
OTHERNPI INDIVIDUALMI1043379530
OTHERSTE LICENSE NUMBERMI4301055180
OTHERUPINMIF05571
OTHERUPINMIG05602
OTHERWULFBCINDPINMI1101312522
MEDICAIDMI3522410
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)		 MI 4301033625

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.