Organization
WILLIAM BEAUMONT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3338
Entity
Organization
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230
(313) 473-1000
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
4301100070
MI
261Q00000X
Clinic/Center
5315053711
MI
282N00000X
General Acute Care Hospital
Primary
4301100070
MI
282N00000X
General Acute Care Hospital
5315053711
MI
Other
Enumeration date
08/15/2012
Last updated
06/23/2022
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