NORTHEND VILLAGE NON-PROFIT NPI 1861034225

NPI Information

NPI: 1861034225
Provider Name: NORTHEND VILLAGE NON-PROFIT
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
8904 WOODWARD AVE
DETROIT, MI
ZIP 48202
Phone: (313) 363-7018
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NORTHEND VILLAGE NON-PROFIT is a multi-specialty clinic center in Detroit, MI. NORTHEND VILLAGE NON-PROFIT NPI is 1861034225. The provider is registered as an organization entity type.

The provider's business location address is:

8904 WOODWARD AVE
DETROIT, MI
ZIP 48202-821
Phone: (313) 363-7018
Fax: (248) 608-8592

The provider's authorized official is Betty Mackie .
The authorized official title is Member and has the following contact phone number (313) 363-7018.

The enumeration date for this NPI number is 10/16/2019 and was last updated on 1/31/2022.

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	261QA0600X	Clinic/Center	Adult Day Care			No
2	261QM1300X	Clinic/Center	Multi-Specialty			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: 11/14/2023

NPI Synchronization or Removal

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