Organization
PROVIDENCE HOSPITAL AND MEDICAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T CROWE (CFO CHIEF FINANCIAL OFFICER)
(248) 849-5707
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 746-3200
(248) 746-0384
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 746-3200
(248) 746-0384
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40277
BCBS PARK SURGICAL CENTER
MI
Enumeration date
11/24/2006
Last updated
08/22/2020
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