Children Trauma Assessment Center

LBN: Western Michigan University Unified Clinics
Children Trauma Assessment Center is an health care organization with primary practice located at 1000 Oakland Dr Fl 3 , Kalamazoo MI 49008-1282. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Western Michigan University Unified Clinics can be contacted via phone (269) 387-7073, or through Sundberg, Carol via phone (269) 387-7005.

Contact Information

Primary practice address
1000 Oakland Dr Fl 3 Kalamazoo MI 49008-1282
Phone: (269) 387-7073
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sundberg, Carol
Phone: (269) 387-7005

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1275600082
LBN Legal business name Western Michigan University Unified Clinics
DBA Doing business as Children Trauma Assessment Center
Authorized official Sundberg, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated May 12th, 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 1275600082 NPPES
Michigan MEDICAID 11 4318037

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