Madison Community Hospital, Inc.

NPI #1972743425 in Detroit, Michigan

Provider Information

NPI Number: 1972743425
Entity Type: Organization
Organization Name: Madison Community Hospital, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: MADISON COMMUNITY HOSPITAL, INC.
Primary Specialty: Psychiatric Hospital
Enumeration Date: Feb 24, 2009
Last Updated: Feb 2, 2010

Practice Location

Address: 5555 CONNER ST
City: Detroit
State: Michigan
ZIP Code: 48213-3448
Phone: (313) 344-7730

Authorized Official

Name: RYAN GUNABALAN
Title: CEO
Phone: (586) 261-2266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Hospital	283Q00000X	Primary

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