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THE BERRY CENTER LLC NPI 1316994122


NPI Information

NPI: 1316994122
Provider Name: THE BERRY CENTER, LLC

Doing Business As: BERRY CENTER & THE BERRY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
28500 ORCHARD LAKE RD
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 851-6767
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THE BERRY CENTER, LLC is an ambulatory surgical clinic center in Farmington Hills, MI. THE BERRY CENTER, LLC NPI is 1316994122. The provider is registered as an organization entity type.
The provider Is Doing Business As Berry Center & The Berry Center.

The provider's business location address is:

28500 ORCHARD LAKE RD
FARMINGTON HILLS, MI
ZIP 48334-936
Phone: (248) 851-6767
Fax: (248) 851-2977

The provider's authorized official is William L Carpenter .
The authorized official title is Board Manager and has the following contact phone number (317) 621-7475.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 12/14/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical636818MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10P23420MEDICARE UPINMICHIGAN
2636818OTHERMICHIGANSTATE LICENSE NUMBER

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: 11/14/2023

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