# MADISON COMMUNITY HOSPITAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MADISON COMMUNITY HOSPITAL INC.
- **Other names:** Biomagnetic Imaging Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447258454
- **Legal business name:** MADISON COMMUNITY HOSPITAL INC.
- **Authorized official:** RAM GUNABALAN M.D. (PRESIDENT)
- **Authorized official phone:** (248) 583-8922

## Contact information

- **Practice address:** 960 RIVER CENTRE DR, PORT HURON, MI 48060-4463
- **Practice address phone:** (810) 966-8523
- **Practice address fax:** (810) 966-5056
- **Mailing address:** 30781 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1618
- **Mailing address phone:** (248) 583-8922
- **Mailing address fax:** (248) 583-8969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 04/17/2008
