Organization
PRIME HEALTHCARE SERVICES - GARDEN CITY LLC
Active
Parent organization
PRIME HEALTHCARE HOLDINGS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE HOLDINGS
Authorized official
GINA S BUTCHER (REGIONAL CFO)
(734) 458-4692
Entity
Organization
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-1200
Mailing address
3300 E GUASTI RD, ONTARIO, CA 91761-8655
(909) 235-4302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
07/29/2020
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