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NPI Code Detail

MEDICARE: CHELSEA COMMUNITY HOSPITAL

MEDICARE: CHELSEA COMMUNITY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103G00000XClinical Neuropsychologist
22084P0800XPsychiatry Physician
3363A00000XPhysician Assistant
4103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1356440689
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHELSEA COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 34505 W 12 MILE RD STE 200
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-3286
Country : US
Telephone Number : 734-343-3922
Fax Number :
Provider Business Practice Location Address
First Line : 775 S MAIN ST
Second Line :
City : CHELSEA
State : MI
Zip : 48118-1383
Country : US
Telephone Number : 734-593-6000
Fax Number :
Authorized Official
Title or Position : SE MI REGIONAL C.F.O.
Name : MICHAEL P GUSHO
Credential :
Telephone Number : 734-398-0642
Provider Enumeration Date : 09/22/2006
Last Update Date : 02/23/2018

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Directions to “CHELSEA COMMUNITY HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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