# MADISON COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447563432
- **Authorized official:** MR. RYAN GUNABALAN (CEO)
- **Authorized official phone:** (586) 261-2266

## Contact information

- **Practice address:** 30785 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1618
- **Practice address phone:** (248) 556-4160
- **Mailing address:** 30785 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1618
- **Mailing address phone:** (248) 556-4160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 07/19/2010