WILLOW ENTERPRISES NPI 1053434209

NPI Information

NPI: 1053434209
Provider Name: WILLOW ENTERPRISES

Doing Business As: PORT HURON HOSPITAL INDUSTRIAL HEALTH

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
1644 STONE ST
PORT HURON, MI
ZIP 48060
Phone: (810) 982-8016
Get Directions

WILLOW ENTERPRISES is an occupational medicine clinic center in Port Huron, MI. WILLOW ENTERPRISES NPI is 1053434209. The provider is registered as an organization entity type.
The provider Is Doing Business As Port Huron Hospital Industrial Health.

The provider's business location address is:

1644 STONE ST
PORT HURON, MI
ZIP 48060-344
Phone: (810) 982-8016
Fax: (810) 982-3590

The provider's authorized official is Gale S. Northcross .
The authorized official title is Medical Director and has the following contact phone number (810) 982-8016.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine	4301049406	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »