# BOTSFORD GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245896000
- **Authorized official:** NANCY SUSICK (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (947) 522-3338

## Contact information

- **Practice address:** 26901 BEAUMONT BLVD., COMMUNITY HEALTH - D - 5, SOUTHFIELD, MI 48033
- **Practice address phone:** (947) 522-1313
- **Mailing address:** 26901 BEAUMONT BLVD., COMPLIANCE, SOUTHFIELD, MI 48033-4617
- **Mailing address phone:** (947) 522-1963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2019
- **Last updated:** 05/16/2023