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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
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 Name | Type Code |
---|---|
Oakwood Teen Centers, LLC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548307945 | Oakwood Healthcare Group II, LLC | Clinic/Center | 19275 Northline, Southgate, MI 48195 | 2007-02-01 |
Street Address |
19275 NORTHLINE SUITE C |
City | SOUTHGATE |
State | MI |
Zip Code | 48195 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548307945 | Oakwood Healthcare Group II, LLC | Clinic/Center | 19275 Northline, Southgate, MI 48195 | 2007-02-01 |
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 |
Find all providers in zip 48195 |
Taxonomy Code | 261QS1000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Student Health |
Definition to come... |
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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 |
Find all providers with the same taxonomy |
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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.