Organization · Type 2 NPI
Kmart
Point of Service · Ironwood, MI
NPI number
1124456884
Active
Practice location
613 First National St
Ironwood, MI 49938-3329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 530241688 (MI) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1124456884
Kmart's National Provider Identifier is 1124456884, issued on Oct 16, 2013. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Ironwood, MI. The record was last updated on Oct 16, 2013.