Organization
ELLA E M BROWN CHARITABLE CIRCLE
Active
Other names
Oaklawn Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW POOLE III (CFO)
(269) 789-3936
Entity
Organization
Contact information
Practice address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-9119
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07793
VALUEOPTIONS
MI
01
—
0801315410
BCBSM
MI
01
—
0A36020
BCBSM
MI
01
—
0A37669
BCBS OF MI
MI
01
—
11763
BCBS GROUP
MI
05
—
23-3974
—
MI
05
—
3118050
—
MI
05
—
4094189
—
MI
01
—
7509107630
BLUE CROSS BLUE SHIELD
MI
01
—
CC2160
RAILROAD MEDICARE GROUP
MI
Enumeration date
01/08/2007
Last updated
09/12/2023
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