Organization
STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Active
Organization
STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Active
Other names
Kalamazoo Psychiatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
GORDY NORRIS (ADMINISTRATIVE MANAGER)
(269) 337-3048
Entity
Organization
Contact information
Practice address
1312 OAKLAND DR, KALAMAZOO, MI 49008-1205
(269) 337-3106
(269) 337-3121
Mailing address
1312 OAKLAND DR, KALAMAZOO, MI 49008-1205
(269) 337-3106
(269) 337-3121
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010C976460
BC PROVIDER #
MI
05
—
1954373
—
MI
01
—
260C976440
BC PROVIDER #
MI
01
—
480C961160
BC PROVIDER #
MI
Enumeration date
08/10/2006
Last updated
10/25/2022
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