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MADISON COMMUNITY HOSPITAL INC NPI 1699234153


NPI Information

NPI: 1699234153
Provider Name: MADISON COMMUNITY HOSPITAL INC

Doing Business As: SAMARITAN BEHAVIORAL CENTER - PROFESSIONAL BILLING

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 23D1099230

Address:
5555 CONNER ST
DETROIT, MI
ZIP 48213
Phone: (313) 344-7730
Get Directions

MADISON COMMUNITY HOSPITAL INC is a nurse practitioner in Detroit, MI. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MADISON COMMUNITY HOSPITAL INC NPI is 1699234153. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samaritan Behavioral Center - Professional Billing.

The provider's business location address is:

5555 CONNER ST
DETROIT, MI
ZIP 48213-448
Phone: (313) 344-7730

The provider's authorized official is Ryan Gunabalan .
The authorized official title is Ceo and has the following contact phone number (586) 261-2266.

The CLIA number assigned to this NPI record is 23D1099230 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2019 and was last updated on 5/29/2019.


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
1363L00000XNurse PractitionerYes

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: 4/28/2024

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