OAKWOOD HEALTHCARE INC NPI 1821310806

NPI Information

NPI: 1821310806
Provider Name: OAKWOOD HEALTHCARE INC

Other Name: OAKWOOD OUTPATIENT DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
18100 OAKWOOD BLVD STE 206
DEARBORN, MI
ZIP 48124
Phone: (313) 438-7969
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OAKWOOD HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Dearborn, MI. OAKWOOD HEALTHCARE INC NPI is 1821310806. The provider is registered as an organization entity type.
The provider Other Name Is Oakwood Outpatient Dialysis Center.

The provider's business location address is:

18100 OAKWOOD BLVD STE 206
DEARBORN, MI
ZIP 48124-085
Phone: (313) 438-7969
Fax: (313) 438-7960

The provider's authorized official is Matthew E Cox .
The authorized official title is Chief Financial Officer and has the following contact phone number (947) 522-3333.

The CLIA number assigned to this NPI record is 23D1100805 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2010 and was last updated on 3/25/2024.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	820120	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23-2351	OTHER	MICHIGAN	CCN 23-2351

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

NPI Synchronization or Removal

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