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Contact Information

ASCENSION PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI48075-4818
 Phone: 248-849-3000
 Fax: 248-849-2244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ASCENSION PROVIDENCE HOSPITAL

NPI # 1376508333
LBN Legal business name ASCENSION PROVIDENCE HOSPITAL
Authorized official SARAH STARKEL - (SUPERVISOR, ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2006
Last updated 06/28/2022 - About 4 years ago
Identifiers
MI Other 0N89760 MEDICARE GROUP PIN #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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