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PHOENIX HEALTH CARE NPI 1366796567


NPI Information

NPI: 1366796567
Provider Name: PHOENIX HEALTH CARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10475 W JEFFERSON AVE
RIVER ROUGE, MI
ZIP 48218
Phone: (313) 342-8421
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PHOENIX HEALTH CARE is a family medicine in River Rouge, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHOENIX HEALTH CARE NPI is 1366796567. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10475 W JEFFERSON AVE
RIVER ROUGE, MI
ZIP 48218-331
Phone: (313) 342-8421

The provider's authorized official is Gerald Hudson .
The authorized official title is Owner and has the following contact phone number (313) 342-8421.

The enumeration date for this NPI number is 11/9/2012 and was last updated on 11/9/2012.


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
1207Q00000XFamily Medicine4301091092MICHIGANYes

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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