Botsford Pediatric Assoc (Np)

LBN: Botsford General Hospital
Botsford Pediatric Assoc (Np) is an health care organization with primary practice located at 23133 Orchard Lake Rd Suite 100, Farmington MI 48336-3268. The organization recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as the primary health care specialty. Botsford General Hospital can be contacted via phone (248) 477-0100, or through Willbrandt, Lesley via phone (947) 522-1911.

Contact Information

Primary practice address
23133 Orchard Lake Rd Suite 100 Farmington MI 48336-3268
Fax: (248) 477-6153
Website:
Authorized official contact:
Name: Willbrandt, Lesley

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X

Profile Details

NPI number 1417134149
LBN Legal business name Botsford General Hospital
DBA Doing business as Botsford Pediatric Assoc (Np)
Authorized official Willbrandt, Lesley
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 24th, 2008
Last updated Aug 16th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417134149 NPPES
Michigan Other 500F335250 BCBS

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