Organization
OAKWOOD HEALTHCARE, INC.
Active
Parent organization
OAKWOOD HEALTHCARE, INC.
Other names
Beaumont Hospital - Taylor
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAKWOOD HEALTHCARE, INC.
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5000
(313) 295-5085
Mailing address
26901 BEAUMONT BLVD., COMPLIANCE, SOUTHFIELD, MI 48033-4617
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
820250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000001147A
CAPE HEALTH PROFESSIONAL
MI
01
—
0Q24603
BSHIELD/BCN PROFESSIONAL
MI
01
—
110242874
RAIL ROAD PROFESSIONAL
MI
05
—
113074760
—
MI
01
—
OP821177
M-CARE PROFESSIONAL
MI
Enumeration date
07/28/2006
Last updated
10/12/2021
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