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DIVINE MEDICAL CARE NPI 1225363203


NPI Information

NPI: 1225363203
Provider Name: DIVINE MEDICAL CARE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2141 E JEFFERSON AVE
SUITE 2
DETROIT, MI
ZIP 48207
Phone: (313) 393-3141
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DIVINE MEDICAL CARE is a clinic center in Detroit, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DIVINE MEDICAL CARE NPI is 1225363203. The provider is registered as an organization entity type.

The provider's business location address is:

2141 E JEFFERSON AVE
SUITE 2
DETROIT, MI
ZIP 48207-128
Phone: (313) 393-3141
Fax: (313) 393-3144

The provider's authorized official is Peter Nwoke .
The authorized official title is Medical Director and has the following contact phone number (313) 393-3141.

The enumeration date for this NPI number is 10/9/2009 and was last updated on 10/9/2009.


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
1261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.