BEAUMONT WEST BLOOMFIELD ASC LLC NPI 1982802203

NPI Information

NPI: 1982802203
Provider Name: BEAUMONT WEST BLOOMFIELD ASC LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
6900 ORCHARD LAKE ROAD
SUITE LL100
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 406-2400
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BEAUMONT WEST BLOOMFIELD ASC LLC is an ambulatory surgical clinic center in West Bloomfield, MI. BEAUMONT WEST BLOOMFIELD ASC LLC NPI is 1982802203. The provider is registered as an organization entity type.

The provider's business location address is:

6900 ORCHARD LAKE ROAD
SUITE LL100
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 406-2400
Fax: (248) 406-2401

The provider's authorized official is John T Fox .
The authorized official title is Ceo and has the following contact phone number (248) 213-3334.

The enumeration date for this NPI number is 7/8/2007 and was last updated on 12/21/2015.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	1010000081	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	23C000106	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
2	23C0001106	MEDICARE UPIN	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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