Light Of Hope Family Medical Clinic

LBN: Light Of Hope Family Medical Clinic
Light Of Hope Family Medical Clinic is an health care organization with primary practice located at 9600 Dexter Ave , Detroit MI 48206-1816. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Light Of Hope Family Medical Clinic can be contacted via phone (313) 894-7881, or through Bandlien, Karl via phone (313) 894-7881.

Contact Information

Primary practice address
9600 Dexter Ave Detroit MI 48206-1816
Phone: (313) 894-7881
Fax: (313) 894-6312
Website:
Map and Directions
Authorized official contact:
Name: Bandlien, Karl Doctor of Medicine (MD)
Phone: (313) 894-7881

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 4301046832 Michigan

Profile Details

NPI number 1497172381
LBN Legal business name Light Of Hope Family Medical Clinic
DBA Doing business as
Authorized official Bandlien, Karl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2014
Last updated Mar 28th, 2014 - about 11 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 1497172381 NPPES
Michigan Other 0820397 BCBS OF MICHIGAN
Michigan MEDICAID 4754287 BCBS OF MICHIGAN

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