CHILDRENS HOSPITAL (NPI# 1083817985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083817985 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HOSPITAL |
| Practice Address |
3901 Beaubien St Detroit MI 48201-2119 |
| Practice Telephone | 3135782564 |
| Practice Fax Number | 3135783964 |
| Mailing Telephone | 3135782564 |
| Mailing Fax Number | 3135783964 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH SCALLON (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 3135788564 |
| Authorized Official Credential | VICE PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM PROVIDER ID | 0H21101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386806198 | Childrens Hospital | Pathology | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2008-07-02 |
| 1225213754 | Childrens Hospital | Dermatology | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2008-01-03 |
| 1356545404 | Childrens Hospital | Clinic/Center | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-06-13 |
| 1144377094 | Childrens Hospital | Clinic/Center | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2007-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDRENS HOSPITAL LOS ANGELES | 4650 Sunset Blvd, Los Angeles, CA 90027-6062 |
| System for Award Management (SAM) Entities | CHILDRENS HOSPITAL MEDICAL PRACTICE CORPORATION | 298 Henry Clay Ave, New Orleans, LA 70118-5720 |
| System for Award Management (SAM) Entities | CHILDRENS HOSPITAL OF WISCONSIN INC | 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 |
| Street Address |
3901 BEAUBIEN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151238 | Mark Campbell | Nurse Anesthetist, Certified Registered | 3901 Beaubien St, Detroit, MI 48201-2119 | 2005-08-18 |
| 1164037735 | Mamdouh Dakhel A Alahmadi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-09-10 |
| 1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
| 1346864550 | Mariane Tomiyoshi Asato | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-06-03 |
| 1629691613 | Abigail Marie Troy | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-05-25 |
| 1235750373 | Katherine Marie Obudzinski | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-04-29 |
| 1548880073 | Sara Mercedes Evans | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1619597069 | Zahur Fatima Sallman | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1154941706 | Saira Tariq | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
| 1063032688 | Michael Allen Finkel | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497010938 | Turner's Diagnostics | Clinic/Center | 727 West Grand Boulevard #315, Detroit, MI 48216 | 2012-07-11 |
| 1750670022 | Vhs Childrens Hospital of Michigan, Inc. | Clinic/Center | 3901 Beaubien St, Detroit, MI 48201-2119 | 2011-04-07 |
| 1841509205 | Sinai Hospital | Clinic/Center | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2010-10-04 |
| 1851600282 | Vhs Sinai Hospital | Clinic/Center | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2010-10-04 |
| 1235326935 | Sinai Grace Hospital | Clinic/Center | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2007-09-27 |
| 1447453949 | Sinai Grace Hospital | Clinic/Center | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2007-06-11 |
| 1023149978 | St. John Hospital and Medical Center | Clinic/Center | 22101 Moross Rd, Detroit, MI 48236-2148 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718457 | Russell Rehabilitation Services LLC | Clinic/Center | 598 W Madison St, Big Rapids, MI 49307-9756 | 2020-10-19 |
| 1437769296 | Speak U.p. Speech Therapy | Clinic/Center | 9745 N.5 Rd, Gladstone, MI 49837-8818 | 2020-08-06 |
| 1376183087 | Better Hearing Inc. | Clinic/Center | 3815 W Saint Joseph St Ste B500c, Lansing, MI 48917-5609 | 2020-01-10 |
| 1043869621 | Byron Center Speech & Language Therapy | Clinic/Center | 2650 Byron Station Dr Sw, Byron Center, MI 49315-9457 | 2019-09-06 |
| 1831602481 | Sensory Technolgy Ear Group LLC | Clinic/Center | 26544 Primary Dr, Southfield, MI 48034-5689 | 2017-11-06 |
| 1891212981 | Language Learning Partners, LLC | Clinic/Center | 21705 Colgate St, Farmington Hills, MI 48336-5613 | 2017-08-29 |
| 1841658283 | The Speech and Language Advocacy Center | Clinic/Center | 26045 Red Wood Dr, New Boston, MI 48164-9188 | 2016-01-30 |
| 1366807042 | D&a Dissolving, Inc. | Clinic/Center | 317 S Drake Rd, Ste. C, Kalamazoo, MI 49009-1171 | 2015-12-22 |
| 1144658717 | Precision Hearing, Inc. | Clinic/Center | 2700 Kraft Ave Se, Suite C, Grand Rapids, MI 49546-6771 | 2013-10-17 |
| 1063847481 | Professional Speech Services of Kalamazoo LLC | Clinic/Center | 7911 S 7th St, Kalamazoo, MI 49009-9707 | 2013-09-04 |
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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.