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ASCENSION ST. MARY'S HOSPITAL NPI 1811097876


NPI Information

NPI: 1811097876
Provider Name: ASCENSION ST. MARY'S HOSPITAL

Doing Business As: ASCENSION MEDICAL GROUP SAGINAW VALLEY PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D0671059

Address:
5821 COLONY DR N
SAGINAW, MI
ZIP 48638
Phone: (989) 797-1040
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ASCENSION ST. MARY'S HOSPITAL is a pediatrics in Saginaw, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ASCENSION ST. MARY'S HOSPITAL NPI is 1811097876. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ascension Medical Group Saginaw Valley Pediatrics.

The provider's business location address is:

5821 COLONY DR N
SAGINAW, MI
ZIP 48638-716
Phone: (989) 797-1040
Fax: (989) 799-0256

The provider's authorized official is Laurilee Mccord .
The authorized official title is Enrollment Coord and has the following contact phone number (989) 362-9411.

The CLIA number assigned to this NPI record is 23D0671059 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 8/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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
1350G31019OTHERMICHIGANBCBS COMMON PROVIDER CODE

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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