Providence-Providence Park Hospital

NPI #1780649822 in Southfield, Michigan

Provider Information

NPI Number
1780649822
Entity Type
Organization
Organization Name
Providence-Providence Park Hospital
Primary Specialty
Registered Nurse
Enumeration Date
Apr 20, 2006
Last Updated
Aug 25, 2016

Practice Location

Address
16001 W 9 MILE RD
Address 2
PHYSICIAN BILLING SERVICES
ZIP Code
48075-4818
Phone
(248) 849-3000

Authorized Official

Name
JENNIFER JOHNSON
Title
DIRECTOR, CENTRAL BILLING OFFICE
Phone
(248) 680-8206

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Critical Care MedicineCritical Care Medicine
Registered Nurse - HospiceHospice
Registered Nurse - Maternal NewbornMaternal Newborn
Registered Nurse

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