Organization
OAKWOOD HEALTHCARE, INC.
Active
Parent organization
OAKWOOD HEALTHCARE, INC.
Other names
Beaumont Hospital - Dearborn
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAKWOOD HEALTHCARE, INC.
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3338
Entity
Organization
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
(313) 436-2038
Mailing address
26901 BEAUMONT BLVD., COMPLIANCE, SOUTHFIELD, MI 48033-4716
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
820120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002105
CAPE HEALTH PROF PROV #
MI
01
—
060024539
RAILROAD PROF PROV #
MI
01
—
0H26396
BC PROFESSIONAL PROV #
MI
05
—
101577115
—
MI
01
—
OK20001
M-CARE PROFESSIONAL PROV#
MI
Enumeration date
07/11/2006
Last updated
07/11/2022
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