East Park Medical Center

LBN: Cascor Health Systems Pc
East Park Medical Center is an health care organization with primary practice located at 4821 Mcnichols St , Detroit MI 48212-1730. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cascor Health Systems Pc can be contacted via phone (313) 368-4600, or through Wentum, Sai via phone (313) 368-4600.

Contact Information

Primary practice address
4821 Mcnichols St Detroit MI 48212-1730
Phone: (313) 368-4600
Fax: (313) 368-4700
Website:
Map and Directions
Authorized official contact:
Name: Wentum, Sai Doctor of Medicine (MD)
Phone: (313) 368-4600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049430 Michigan

Profile Details

NPI number 1053462846
LBN Legal business name Cascor Health Systems Pc
DBA Doing business as East Park Medical Center
Authorized official Wentum, Sai Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated May 20th, 2011 - about 13 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 1053462846 NPPES
Michigan MEDICAID 4529149

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