Organization
ELLA E M BROWN CHARITABLE CIRCLE
Active
Other names
Oaklawn Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DE SMET (FINANCIAL PLANNING & REIMBURSEMENT)
(269) 781-4271
Entity
Organization
Contact information
Practice address
15209 W MICHIGAN AVE, MARSHALL, MI 49068-9570
(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
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07793
VALUEOPTIONS
MI
01
—
11763
BCBSM GROUP
MI
01
—
12763
BCBSM GROUP
MI
01
—
13763
BCBSM GROUP
MI
01
—
CC2160
RAILROAD MEDICARE GROUP
MI
Enumeration date
01/08/2007
Last updated
11/09/2009
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