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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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