BEAUMONT HOSPITAL GROSSE POINTE NPI 1699962142

NPI Information

NPI: 1699962142
Provider Name: BEAUMONT HOSPITAL GROSSE POINTE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 23D2171836

Address:
25901 JEFFERSON AVE
SUITE 200
SAINT CLAIR SHORES, MI
ZIP 48081
Phone: (586) 447-4161
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BEAUMONT HOSPITAL GROSSE POINTE is a primary care clinic center in Saint Clair Shores, MI. BEAUMONT HOSPITAL GROSSE POINTE NPI is 1699962142. The provider is registered as an organization entity type.

The provider's business location address is:

25901 JEFFERSON AVE
SUITE 200
SAINT CLAIR SHORES, MI
ZIP 48081-333
Phone: (586) 447-4161
Fax: (586) 447-4180

The provider's authorized official is Lee Ann Odom .
The authorized official title is President Shared Services and has the following contact phone number (947) 522-3326.

The CLIA number assigned to this NPI record is 23D2171836 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 10/7/2021.

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	261QP2300X	Clinic/Center	Primary Care			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

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