Medilodge Of St. Clair, Inc.

LBN: Medilodge Of St. Clair, Inc.
Medilodge Of St. Clair, Inc. is an health care organization with primary practice located at 4220 Hospital Dr , East China MI 48054-2200. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Medilodge Of St. Clair, Inc. can be contacted via phone (810) 329-4736, or through Denean, Kathleen via phone (586) 752-5008.

Contact Information

Primary practice address
4220 Hospital Dr East China MI 48054-2200
Phone: (810) 329-4736
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Denean, Kathleen
Phone: (586) 752-5008

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 744040 Michigan

Profile Details

NPI number 1881655777
LBN Legal business name Medilodge Of St. Clair, Inc.
DBA Doing business as
Authorized official Denean, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 29th, 2008 - about 16 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 1881655777 NPPES
Michigan MEDICAID 2630271
Michigan Other 09915

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