Organization

Providence Hospital And Medical Centers

General Acute Care Hospital in Southfield, MI(View on Map)

Legal Business Name

Providence Hospital And Medical Centers

NPI Number

1396811295

NPI Type

Organization

Enumeration Date

11/24/2006

Specialties

(Taxonomies)

Code

282N00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

16001 W 9 MILE RD
16001 W 9 MILE RD

City

Southfield
Southfield

State

MI
MI

Postal Code

48075-4818
48075-4818

Country

US
US

Telephone Number

(248) 746-3200
(248) 746-3200

Authorized Official

Name

Mr. William Crowe

Title or Position

CFO CHIEF FINANCIAL OFFICER

Telephone Number

(248) 849-5707

Identifiers

Identifier

40277

Identifier State

MI

Identifier Issuer

BCBS PARK SURGICAL CENTER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address

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