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DETROIT MACOMB HOSPITAL CORPORATION NPI 1366486763


NPI Information

NPI: 1366486763
Provider Name: DETROIT MACOMB HOSPITAL CORPORATION

Doing Business As: ST. JOHN DETROIT RIVERVIEW HOSPITAL

Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
7733 E JEFFERSON AVE
DETROIT, MI
ZIP 48214
Phone: (313) 499-4254
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DETROIT MACOMB HOSPITAL CORPORATION is a nurse anesthetist certified registered in Detroit, MI. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. DETROIT MACOMB HOSPITAL CORPORATION NPI is 1366486763. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As St. John Detroit Riverview Hospital.

The provider's business location address is:

7733 E JEFFERSON AVE
DETROIT, MI
ZIP 48214-707
Phone: (313) 499-4254

The provider's authorized official is Anthony Munroe .
The authorized official title is President and has the following contact phone number (313) 499-4108.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/22/2020.


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
1367500000XNurse Anesthetist, Certified RegisteredYes
2207L00000XAnesthesiologyX

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
1AN820017OTHERMICHIGANMCARE ANESTHESIOLOGISTS
27853578OTHERMICHIGANAETNA CRNAS
3AN820023OTHERMICHIGANMCARE CRNAS

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

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