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SAINT JOSEPH LIVINGSTON HOSPITAL NPI 1174721740


NPI Information

NPI: 1174721740
Provider Name: SAINT JOSEPH LIVINGSTON HOSPITAL

Other Name: TRINITY HEALTH - MICHIGAN

Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization

CLIA Number: 23D2163867

Address:
2300 GENOA BUSINESS PARK DR STE 180
BRIGHTON, MI
ZIP 48114
Phone: (734) 786-2300
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SAINT JOSEPH LIVINGSTON HOSPITAL is a rehabilitation substance use disorder unit in Brighton, MI. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) SAINT JOSEPH LIVINGSTON HOSPITAL NPI is 1174721740. The provider is registered as an organization entity type.
The provider Other Name Is Trinity Health - Michigan.

The provider's business location address is:

2300 GENOA BUSINESS PARK DR STE 180
BRIGHTON, MI
ZIP 48114-374
Phone: (734) 786-2300

The provider's authorized official is Michael Paul Gusho .
The authorized official title is Regional Cfo and has the following contact phone number (231) 672-3886.

The CLIA number assigned to this NPI record is 23D2163867 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 8/30/2022.


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
1276400000XRehabilitation, Substance Use Disorder Unit470079MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120210OTHERMICHIGANBLUE CROSS OP SUB ABUSE

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

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