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DETROIT RECEIVING HOSPITAL NPI 1649589078


NPI Information

NPI: 1649589078
Provider Name: DETROIT RECEIVING HOSPITAL
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 23D0369512

Address:
4201 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
Phone: (313) 578-2164
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DETROIT RECEIVING HOSPITAL is an adult mental health clinic center in Detroit, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DETROIT RECEIVING HOSPITAL NPI is 1649589078. The provider is registered as an organization entity type.

The provider's business location address is:

4201 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201-153
Phone: (313) 578-2164
Fax: (313) 578-3964

The provider's authorized official is Gloria Larkins .
The authorized official title is Vice President Finance and has the following contact phone number (313) 578-2164.

The CLIA number assigned to this NPI record is 23D0369512 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/4/2010 and was last updated on 3/23/2020.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

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
10H21525OTHERMICHIGANOTHER

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.