Organization
BARBARA ANN KARMANOS CANCER INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G BENNETT (CFO)
(313) 576-8664
Entity
Organization
Contact information
Practice address
24601 NORTHWESTERN HWY, BILLING DEPT., SOUTHFIELD, MI 48075-2473
(248) 827-4580
(248) 827-7663
Mailing address
4100 JOHN R ST, DETROIT, MI 48201-2013
(180) 052-7626
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
833501
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08727
BLUE CROSS BLUE SHIELD MI
MI
05
—
2680863
—
MI
Enumeration date
09/20/2005
Last updated
08/22/2020
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