Organization
MEDILODGE OF ST. CLAIR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN DENEAN (CHIEF EXECUTIVE OFFICER)
(586) 752-5008
Entity
Organization
Contact information
Practice address
4220 HOSPITAL DR, EAST CHINA, MI 48054-2200
(810) 329-4736
Mailing address
64500 VAN DYKE RD, WASHINGTON, MI 48095-2583
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
744040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09915
BLUE CROSS OF MICHIGAN
MI
05
—
2630271
—
MI
Enumeration date
03/30/2006
Last updated
07/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us