| Beaumont Hospital-farmington Hills | |
|
28050 Grand River Ave Farmington Hills MI 48336-5919 | |
| (947) 521-8000 | |
| Not Available |
| Full Name | Beaumont Hospital-farmington Hills |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 28050 Grand River Ave, Farmington Hills, Michigan |
| Authorized Official Name and Position | Nancy Susick (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9475223338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Hospital-farmington Hills 26901 Beaumont Blvd Southfield MI 48033-3849 Ph: (947) 522-1963 | Beaumont Hospital-farmington Hills 28050 Grand River Ave Farmington Hills MI 48336-5919 Ph: (947) 521-8000 |
| NPI Number | 1417983362 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417983362 | NPI | - | NPPES |
| BLUE CROSS | Other | MI | 00276 |
| 5170228-40 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 630050 (Michigan) | Primary |
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