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NPI Code Detail

MEDICARE: WILLIAM BEAUMONT HOSPITAL

MEDICARE: WILLIAM BEAUMONT 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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OE088OTHERMIBCBS PROVIDER ID#
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801821988
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAM BEAUMONT HOSPITAL
Provider Business Mailing Address
First Line : 26901 BEAUMONT BLVD
Second Line : COMPLIANCE
City : SOUTHFIELD
State : MI
Zip : 48071
Country : US
Telephone Number : 947-522-1964
Fax Number :
Provider Business Practice Location Address
First Line : 1410 E 14 MILE RD
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-1541
Country : US
Telephone Number : 248-743-9500
Fax Number : 248-743-9111
Authorized Official
Title or Position : PRESIDENT SHARED SERVICES
Name : LEE ANN ODOM
Credential :
Telephone Number : 947-522-3326
Provider Enumeration Date : 07/11/2006
Last Update Date : 10/07/2021

Similar Medicare Providers

1477587186 — WILLIAM BEAUMONT HOSPITAL
Practice Location Address:
1410 E 14 MILE RD
MADISON HEIGHTS, MI
48071-1541
Practice Phone: 248-743-9400
Practice Fax: 248-743-9111
1487865911 — BEAUMONT HOSPITALS
Practice Location Address:
1410 E 14 MILE RD
MADISON HEIGHTS, MI
48071-1541
Practice Phone: 248-743-9100
Practice Fax: 248-743-9111
1093024523 — MR. DANIEL VICTOR KRSTESKI LLMSW
Practice Location Address:
1410 E 14 MILE RD , SUITE 900
MADISON HEIGHTS, MI
48071-1541
Practice Phone: 248-524-8801
Practice Fax:
1649575168 — MS. MELISSA L MARECKI LMSW
Practice Location Address:
1410 E 14 MILE RD
MADISON HEIGHTS, MI
48071-1541
Practice Phone: 248-524-8801
Practice Fax:
1528346186 — MRS. MAUREEN TARA ANGELI LLPC
Practice Location Address:
1410 E 14 MILE RD
MADISON HEIGHTS, MI
48071-1541
Practice Phone: 248-524-8850
Practice Fax:
1912401720 — REYNIEL ANTHONY CATABIAN PT
Practice Location Address:
1410 E 14 MILE RD
MADISON HEIGHTS, MI
48071-1541
Practice Phone: 248-743-9500
Practice Fax:

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