| Detroit Receiving Hospital | |
|
4201 Saint Antoine St Detroit MI 48201-2153 | |
| (313) 578-2164 | |
| (313) 578-3964 |
| Full Name | Detroit Receiving Hospital |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4201 Saint Antoine St, Detroit, Michigan |
| Authorized Official Name and Position | Gloria Larkins (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 3135782164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Receiving Hospital 4201 Saint Antoine St Detroit MI 48201-2153 Ph: (313) 578-2164 | Detroit Receiving Hospital 4201 Saint Antoine St Detroit MI 48201-2153 Ph: (313) 578-2164 |
| NPI Number | 1699978502 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699978502 | NPI | - | NPPES |
| 0H21525 | Other | MI | BCBSM PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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