Southeast Michigan Surgical Hospital

LBN: Southeast Michigan Surgical Hospital, Llc
Southeast Michigan Surgical Hospital is an health care organization with primary practice located at 21230 Dequindre Rd , Warren MI 48091-2279. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Southeast Michigan Surgical Hospital, Llc can be contacted via phone (586) 427-1000, or through Poulsen, Jeffrey A via phone (586) 427-1000.

Contact Information

Primary practice address
21230 Dequindre Rd Warren MI 48091-2279
Phone: (586) 427-1000
Fax: (586) 759-0237
Website:
Map and Directions
Authorized official contact:
Name: Poulsen, Jeffrey A
Phone: (586) 427-1000

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 500100 Michigan

Profile Details

NPI number 1295865392
LBN Legal business name Southeast Michigan Surgical Hospital, Llc
DBA Doing business as Southeast Michigan Surgical Hospital
Authorized official Poulsen, Jeffrey A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Apr 12th, 2013 - 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 1295865392 NPPES
Michigan Other 0E00146 PODIATRIST GROUP ID #
Michigan Other 0E01458 PODIATRIST GROUP ID #
Michigan MEDICAID 2619390 PODIATRIST GROUP ID #

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