Provider Demographics
NPI:1386988707
Name:HEALTH NET CONNECT INC
Entity type:Organization
Organization Name:HEALTH NET CONNECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:CORKY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-896-6240
Mailing Address - Street 1:50496 PONTIAC TRL
Mailing Address - Street 2:SUITE 700
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-2088
Mailing Address - Country:US
Mailing Address - Phone:248-896-6240
Mailing Address - Fax:248-960-8082
Practice Address - Street 1:50496 PONTIAC TRL
Practice Address - Street 2:SUITE 700
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-2088
Practice Address - Country:US
Practice Address - Phone:248-896-6240
Practice Address - Fax:248-960-8082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment