Organization
WILLIAM BEAUMONT HOSPITAL
Active
Organization
WILLIAM BEAUMONT HOSPITAL
Active
Other names
Corewell Health Home Infusion, Beaumont Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E COX (CHIEF FINANCIAL OFFICER,)
(616) 486-5246
Entity
Organization
Contact information
Practice address
31157 WOODWARD AVE STE 101, ROYAL OAK, MI 48073-0996
(947) 523-4900
Mailing address
26901 BEAUMONT BLVD BLDG D6, SOUTHFIELD, MI 48033-3849
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113090
—
MI
05
—
3113106
—
MI
01
—
540F30028
BCBS PROVIDER ID#
MI
Enumeration date
07/01/2006
Last updated
06/17/2025
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