Organization
DETROIT RECEIVING HOSPITAL AND UNIVERSITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA LARKINS VICE PRESIDENT (VICE PRESIDENT FINANCE)
(313) 578-2164
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 578-2164
(313) 578-3964
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 578-2164
(313) 578-3964
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00118
BCBSM HOSPITAL PROVIDER
MI
05
—
301557720
—
MI
05
—
405170522
—
MI
Enumeration date
03/31/2006
Last updated
02/24/2011
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