Healthcare Provider Details

I. General information

NPI: 1750670022
Provider Name (Legal Business Name): VHS CHILDRENS HOSPITAL OF MICHIGAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BEAUBIEN ST
DETROIT MI
48201-2119
US

IV. Provider business mailing address

14201 DALLAS PKWY
DALLAS TX
75254-2916
US

V. Phone/Fax

Practice location:
  • Phone: 313-578-3233
  • Fax: 615-665-6197
Mailing address:
  • Phone: 313-745-5437
  • Fax: 469-893-7272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINSDAY JOSEPH
Title or Position: CFO
Credential:
Phone: 313-745-5437