Organization
PRIME HEALTHCARE SERVICES - GARDEN CITY, LLC
Active
Other names
Garden City Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4421
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4421
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006
BCBS OF MICHIGAN
MI
Enumeration date
03/02/2020
Last updated
03/02/2020
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