Organization
WILLIAM BEAUMONT HOSPITAL
Active
Organization
WILLIAM BEAUMONT HOSPITAL
Active
Other names
Beaumont Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
1410 E 14 MILE RD, MADISON HEIGHTS, MI 48071-1541
(248) 743-9400
(248) 743-9111
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08775
BCBS PROVIDER ID#
MI
05
—
3442928
—
MI
Enumeration date
07/10/2006
Last updated
10/01/2021
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