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Organization

STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT

Active
Other names
Walter P. Reuther Psychiatric Hospital, STATE OF MICHIGAN
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN MARIE RUSSELL (ADMINISTRATIVE MANAGER)
(734) 367-8603
Entity
Organization

Contact information

Practice address
30901 PALMER RD, WESTLAND, MI 48186-5389
(734) 367-8576
(734) 722-6891
Mailing address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8603
(734) 367-8600

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
5301001649
MI
283Q00000X
Psychiatric Hospital
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010Q262580
BCBSM GR# INTERNIST
MI
01
110Q262600
BCBSM GR # INTERNIST
MI
01
160H211210
BCBSM GR# OBGYN
MI
05
1758872
MI
01
260Q262590
BCBSM GR# PSYCHIATRIST
MI
01
480H278300
BCBSM GR# PODIATRY
MI
Enumeration date
07/17/2006
Last updated
04/09/2026
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