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Organization
DETROIT RECEIVING HOSPITAL AND UNIVERSITY HEALTH CENTER
Active
Organization
DETROIT RECEIVING HOSPITAL AND UNIVERSITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA LARKINS VICE PRESIDENT (VICE PRESIDENT FINANCE)
(313) 578-2164
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 578-2164
(313) 578-3964
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 578-2164
(313) 578-3964
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00118
BCBSM HOSPITAL PROVIDER
MI
05
—
301557720
—
MI
05
—
405170522
—
MI
Enumeration date
03/31/2006
Last updated
02/24/2011
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