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NPI Code Detail

MEDICARE: SCCI HOSPITALS OF AMERICA INC.

MEDICARE: SCCI HOSPITALS OF AMERICA INC.
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
1282E00000XLong Term Care Hospital830521MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200336OTHERMIBLUE CROSS

General Provider Information

NPI Number : 1801872379
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCCI HOSPITALS OF AMERICA INC.
Provider Business Mailing Address
First Line : 680 S 4TH ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-2407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4777 EAST OUTER DRIVE
Second Line :
City : DETROIT
State : MI
Zip : 48234-3241
Country : US
Telephone Number : 313-369-5800
Fax Number : 313-369-5876
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MARILYN A. WEAVER
Credential :
Telephone Number : 502-596-7563
Provider Enumeration Date : 12/16/2005
Last Update Date : 01/11/2018

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Directions to “SCCI HOSPITALS OF AMERICA INC. ” Practice Location

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