Organization
HOSPITAL HEALTH CARE INC.
Active
Parent organization
PONTIAC OSTEOPATHIC HOSPITAL
Other names
CLARKSTON PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PONTIAC OSTEOPATHIC HOSPITAL
Authorized official
CLARENCE SEVILLIAN (CEO/PRESIDENT)
(248) 338-5380
Entity
Organization
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
(248) 338-5584
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
(248) 338-5584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F31232
BLUE SHIELD GROUP PIN
MI
Enumeration date
09/12/2006
Last updated
04/08/2011
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