OAKWOOD HEALTHCARE GROUP II, LLC


Address: 19275 Northline, Suite C, Southgate, MI 48195
Phone: 7342872076

OAKWOOD HEALTHCARE GROUP II, LLC (NPI# 1245418151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245418151
Entity Type Organization
Organization Name OAKWOOD HEALTHCARE GROUP II, LLC
Other Organization Name OAKWOOD TEEN CENTERS, LLC
Practice Address 19275 Northline
Suite C
Southgate
MI 48195
Mailing Address 26650 Eureka Rd
Suite C
Taylor
MI 48180-4835
Practice Telephone 7342872076
Practice Fax Number 7342872731
Mailing Telephone 7349422273
Mailing Fax Number 7349427478
Enumeration Date 2008-02-01
Last Update Date 2011-05-24
Authorized Official Name MRS. LISA RUTLEDGE (CORPORATE DIRECTOR, COMMUNITY OUTRE)
Authorized Official Telephone 3135865492
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI B.C.B.S. MI 080H221710 01
MI NPI 1548307945 01
MI NPI 1699754226 01
MI NPI 1861462632 01
MI NPI 1891765327 01
MI NPI 1578500724 01
MI NPI 1083708200 01
MI NPI 1326019076 01
MI NPI 1386624591 01
MI BLUE CROSSBLUE SHIELD MI 500H201890 01
MI NPI 1245237551 01
MI NPI 1831191576 01

Other Provider/Organization Names

Other Name Type Code
Oakwood Teen Centers, LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548307945 Oakwood Healthcare Group II, LLC Clinic/Center 19275 Northline, Southgate, MI 48195 2007-02-01

Office Location

Street Address 19275 NORTHLINE
SUITE C
City SOUTHGATE
State MI
Zip Code 48195

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548307945 Oakwood Healthcare Group II, LLC Clinic/Center 19275 Northline, Southgate, MI 48195 2007-02-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206656 Destiny D Harris Social Worker 14799, Southgate, MI 48195 2020-05-13
1285102368 Svs Vision Inc Eyewear Supplier (Equipment, not the service) 16256 Fort St, Southgate, MI 48195 2018-11-07
1003382979 Saran Charisse Watts Case Manager/Care Coordinator 31101 Allen Rd, Building 5, Southgate, MI 48195 2018-10-18
1255824025 Kiesta Janell Lindsey Social Worker 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 2018-06-07
1417473224 Suzette Michele Watson Nurse Practitioner 14319 Dix-toledo, Southgate, MI 48195 2017-08-15
1275069486 Liza Du Plessis Student in an Organized Health Care Education/Training Program 13111 Allen Road, Southgate, MI 48195 2017-05-08
1497290456 Beaumont Health Clinic/Center 15777 Northline, Southgate, MI 48195 2016-12-30
1184172876 Felicia Wilson Licensed Practical Nurse 15771 Wildemere, Southgate, MI 48195 2016-09-12
1225487978 Stacey Petrick-strickland Technician, Other 12189 Agnes, Southgate, MI 48195 2016-06-03
1205298486 Ashley Francis Hearing Instrument Specialist 18800 Eureka Rd., Southgate, MICHIGAN 48195 2016-03-25
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

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1669759437 Baldwin Family Health Care Clinic/Center 96 E 120th St Rm N8, Grant, MI 49327-8502 2011-11-08
1184872400 Genesys Regional Medical Center Clinic/Center 2989 Van Zandt Rd, Waterford, MI 48329-3360 2008-08-28
1134398027 Southeastern Michigan Health Association Clinic/Center 11447 Joseph Campau, Hamtramck, MI 48212 2008-02-25
1316160971 Leslie Medical Center P C Clinic/Center 207 E Bellevue St, Leslie, MI 49251-9373 2007-04-11
1538287313 Great Lakes Bay Health Centers Clinic/Center 3100 Webber St, Saginaw, MI 48601-4066 2007-03-27
1033253794 Children's Ambulatory Services, LLC Clinic/Center 21431 Grand River Ave, Detroit, MI 48219-3801 2007-02-16
1467950758 Regents of The Universtiy of Michigan Clinic/Center 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2018-02-01
1609147339 Calvin College Clinic/Center 3195 Knight Way Se, Grand Rapids, MI 49546-4409 2012-01-26
1790067338 Baldwin Family Health Care Clinic/Center 555 E Wilcox Ave, White Cloud, MI 49349 2011-09-09
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Competitor

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City SOUTHGATE
Zip Code 48195

Improve Information

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Dataset Information

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.

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