BOTSFORD GENERAL HOSPITAL NPI 1629392576

NPI Information

  • NPI: 1629392576
  • Provider Name: BOTSFORD GENERAL HOSPITAL
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: SOUTH REDFORD SCHOOL BASED HEALTH CENTER
  • CLIA Number: 23D2005671
  • Address: 25605 ORANGELAWN
    REDFORD, MI
    ZIP 48239
  • Phone: (248) 615-7458

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NPI Details

BOTSFORD GENERAL HOSPITAL is a federally qualified health center (fqhc) clinic center in Redford, MI. BOTSFORD GENERAL HOSPITAL NPI is 1629392576. The provider is registered as an organization entity type.
The provider Is Doing Business As South Redford School Based Health Center.

The provider's business location address is:

25605 ORANGELAWN
REDFORD, MI
ZIP 48239-048
Phone: (248) 615-7458

The provider's authorized official is Lesley Willbrandt .
The authorized official title is Authorized Official and has the following contact phone number (947) 522-1911.

The CLIA number assigned to this NPI record is 23D2005671 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2010 and was last updated on 10/30/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/21/2025

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