Organization
BOTSFORD GENERAL HOSPITAL
Active
Parent organization
BOTSFORD GENERAL HOSPITAL
Other names
South Redford School Based Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOTSFORD GENERAL HOSPITAL
Authorized official
LESLEY WILLBRANDT (AUTHORIZED OFFICIAL)
(947) 522-1911
Entity
Organization
Contact information
Practice address
25605 ORANGELAWN, REDFORD, MI 48239-2048
(248) 615-7458
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/22/2010
Last updated
10/30/2020
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