Detroit Receiving Hospital | |
4201 Saint Antoine St Detroit MI 48201-2153 | |
(313) 745-3000 | |
Not Available |
Full Name | Detroit Receiving Hospital |
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Speciality | Psychiatric Unit |
Location | 4201 Saint Antoine St, Detroit, Michigan |
Authorized Official Name and Position | Ben Brow (CFO) |
Authorized Official Contact | 3137451621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Detroit Receiving Hospital 20 Burton Hills Blvd Ste 100 Nashville TN 37215-6409 Ph: (615) 665-6000 | Detroit Receiving Hospital 4201 Saint Antoine St Detroit MI 48201-2153 Ph: (313) 745-3000 |
NPI Number | 1396057071 |
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Provider Enumeration Date | 07/09/2010 |
Last Update Date | 11/14/2022 |
Certification Date | 11/14/2022 |
Medicare PECOS PAC ID | 1850415936 |
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Medicare Enrollment ID | O20101008000877 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396057071 | NPI | - | NPPES |
1396057071 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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