Organization
GARDEN CITY HOSPITAL
Active
Parent organization
GARDEN CITY HOSPITAL
Other names
Garden City Hospital - CRNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARDEN CITY HOSPITAL
Authorized official
TIMOTHY JODWAY (VICE PRESIDENT & CFO)
(734) 458-4642
Entity
Organization
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-1200
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-1200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
368375801
USDOL
MI
01
—
430Q262800
BCBS
MI
01
—
7222220
AETNA
MI
01
—
OP821374
MCARE
MI
Enumeration date
06/15/2006
Last updated
11/16/2010
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