Organization
CHILDRENS HOSPITAL OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE HILL VP (VICE PRESIDENT OF FINANCE)
(313) 578-8564
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 578-2564
(313) 578-3964
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 578-2564
(313) 578-3964
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00244
BLUECROSSFACILITYPROVIDER
MI
05
—
301557810
—
MI
05
—
405170326
—
MI
Enumeration date
03/27/2006
Last updated
02/01/2011
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