Providence Hospital

LBN: Providence Hospital
Providence Hospital is an health care organization with primary practice located at 22250 Providence Dr Suite 500, Southfield MI 48075-4825. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Providence Hospital can be contacted via phone (248) 849-3447, or through Palm, Kai Kinyell via phone (313) 622-5004.

Contact Information

Primary practice address
22250 Providence Dr Suite 500 Southfield MI 48075-4825
Phone: (248) 849-3447
Fax: (248) 849-5389
Website:
Map and Directions
Authorized official contact:
Name: Palm, Kai Kinyell Doctor of Medicine (MD)
Phone: (313) 622-5004

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 4301094326 Michigan
Ambulatory Health Care Facilities / Primary Care 261QP2300X 4301094326 Michigan
Hospitals / General Acute Care Hospital 282N00000X 4301094326 Michigan

Profile Details

NPI number 1093943615
LBN Legal business name Providence Hospital
DBA Doing business as
Authorized official Palm, Kai Kinyell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2009
Last updated Jun 23rd, 2009 - about 15 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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