NPI 1093943615

Providence Hospital

Organisation General Acute Care Hospital Southfield, MI

Practice location

Address: 22250 Providence Dr Suite 500, Southfield, MI 48075-4825
Phone: (248) 849-3447
Fax: (248) 849-5389
Mailing address: 11692 Beaverland, Detroit, MI 48239-1357

Authorised official

Name: Kai Kinyell Palm
Title: Resident Physician
Phone: (313) 622-5004

Registered specialties (3)

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 4301094326 (MI)

Other General Acute Care Hospital providers in Michigan →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 4301094326 (MI)

Other Clinic/Center providers in Michigan →

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 4301094326 (MI)

Registry record

NPI: 1093943615
Entity type: Organization
NPI issued: 23 Jun 2009
Record last updated: 23 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.