| Ascension Providence Rochester Hospital | |
|
1101 W University Dr Rochester MI 48307-1863 | |
| (248) 652-5000 | |
| Not Available |
| Full Name | Ascension Providence Rochester Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1101 W University Dr, Rochester, Michigan |
| Authorized Official Name and Position | Christopher Palazzolo (PRESIDENT & CEO) |
| Authorized Official Contact | 2486525198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Providence Rochester Hospital 1101 W University Dr Rochester MI 48307-1863 Ph: (248) 652-5000 | Ascension Providence Rochester Hospital 1101 W University Dr Rochester MI 48307-1863 Ph: (248) 652-5000 |
| NPI Number | 1376697581 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 8820994098 |
|---|---|
| Medicare Enrollment ID | O20080109000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376697581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 630070 (Michigan) | Primary |
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