Organization
BOTSFORD GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SUSICK (CHIEF OPERATING OFFICER)
(947) 522-3338
Entity
Organization
Contact information
Practice address
26901 BEAUMONT BLVD., COMMUNITY HEALTH - D - 5, SOUTHFIELD, MI 48033
(947) 522-1313
Mailing address
26901 BEAUMONT BLVD., COMPLIANCE, SOUTHFIELD, MI 48033-4617
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2023
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