BOTSFORD GENERAL HOSPITAL (NPI# 1700442597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700442597 |
| Entity Type | Organization |
| Organization Name | BOTSFORD GENERAL HOSPITAL |
| Other Organization Name | BEAUMONT HOSPITAL-FARMINGTON HILLS |
| Practice Address |
26901 Beaumont Blvd, Beaumont Service Center Community Health, D - 5 Southfield MI 48033 |
| Practice Telephone | 9475221313 |
| Mailing Telephone | 9475221313 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | CAROLYN S. WILSON (EVP & COO) |
| Authorized Official Telephone | 2482133326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beaumont Hospital-Farmington Hills | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780819664 | Botsford General Hospital | Family Medicine | 14001 Greenfield, Detroit, MI 48227-2101 | 2009-05-21 |
| 1821116609 | Botsford General Hospital | Clinic/Center | 21440 Archwood Cir, Farmington Hills, MI 48336-4127 | 2007-03-27 |
| 1013079573 | Botsford General Hospital | Neuromusculoskeletal Medicine & OMM | 39750 Grand River Ave, Attn Omm Clinic, Novi, MI 48375-2106 | 2006-12-14 |
| 1871521153 | Botsford General Hospital | Family Medicine | 28100 Grand River Ave Ste 313s, Farmington Hills, MI 48336-5970 | 2006-06-28 |
| 1568404853 | Botsford General Hospital | Clinic/Center | 26905 Grand River Ave, Redford, MI 48240-1602 | 2006-06-12 |
| 1245896000 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd., Community Health - D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1720593478 | Botsford General Hospital | Social Worker | 25605 Orangelawn, Redford, MI 48239-2048 | 2017-12-04 |
| 1609311794 | Botsford General Hospital | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2016-12-27 |
| 1972054039 | Botsford General Hospital | Physician Assistant | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2016-10-24 |
| 1013468198 | Botsford General Hospital | Nurse Practitioner | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2016-10-24 |
| Street Address |
26901 BEAUMONT BLVD, BEAUMONT SERVICE CENTER COMMUNITY HEALTH, D - 5 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346806130 | Oakwood Healthcare Inc | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| 1548684830 | Rebecca Austin | Specialist/Technologist | 26935 Northwestern Hwy, Southfield, MI 48033 | 2014-02-07 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1376100479 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 | 2019-05-23 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1083272686 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1598323172 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1417515016 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health, D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1346806130 | Oakwood Healthcare Inc | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1750686143 | Integrated Home Clinic | Clinic/Center | 23077 Greenfield Rd, 240, Southfield, MI 48075-3709 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365835 | Sacred Heart Rehabilitation Center | Clinic/Center | 22256 Marine Ave, Eastpointe, MI 48021-2634 | 2019-09-13 |
| 1124677265 | Sacred Heart Rehabilitation Center | Clinic/Center | 23099 David Ave, Eastpointe, MI 48021-1826 | 2019-09-11 |
| 1699324731 | Sacred Heart Rehabilitation Center | Clinic/Center | 1504 E Greig Ave, Madison Heights, MI 48071-3826 | 2019-09-11 |
| 1013410596 | Our Wellness Hub | Clinic/Center | 17401 E 10 Mile Rd, Eastpointe, MI 48021-1256 | 2018-03-12 |
| 1235648700 | Sacred Heart Rehabilitation Center | Clinic/Center | 329 Butternut St, Benton Harbor, MI 49022-2922 | 2017-09-27 |
| 1326427162 | Holistic Healer & Wellness Center Inc | Clinic/Center | 3998 Clippert St, Dearborn Hts, MI 48125-2731 | 2015-05-27 |
| 1235540501 | Stehouwer Free Clinic | Clinic/Center | 201 N Mitchell St, L-1, Cadillac, MI 49601-1859 | 2014-05-08 |
| 1265875892 | Sedara Mae Healthcare Clinic, LLC | Clinic/Center | 1167 Madison Ave Se, Mailbox 5, Grand Rapids, MI 49507-1200 | 2013-04-12 |
| 1104177195 | Isabella Citizens for Health, Inc. | Clinic/Center | 2790 Health Pkwy, Mt Pleasant, MI 48858 | 2012-10-01 |
| 1952685588 | Match-e-be-nash-she-wish Band of Pottawatomi Indians | Clinic/Center | 2880 Mission Dr, Shelbyville, MI 49344-9580 | 2011-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.