Organization
OAKWOOD HEALTHCARE, INC
Active
Other names
Oakwood Healthcare system
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 586-5011
Mailing address
26901 BEAUMONT BLVD., COMPLIANCE, SOUTHFIELD, MI 48033-4716
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
282N00000X
General Acute Care Hospital
820120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001513
CAPE HEALTH PLAN
MI
01
—
00205
BCBS PROV #
MI
01
—
006403
MIDWEST
MI
01
—
101520
CHS WELLNESS
MI
01
—
104641
CARE CHOICE
MI
01
—
118626
GREATLAKES HEALTH PLAN
MI
01
—
40205
BCBS SPRINGWELLS PROV #
MI
01
—
49342
OMNICARE CONVENTRY
MI
01
—
6330275
AETNA PROVIDER#
MI
01
—
P00205
BCN PROVIDER #
MI
Enumeration date
04/16/2008
Last updated
10/13/2021
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