WILLIAM BEAUMONT HOSPITAL (NPI# 1376100479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376100479 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Other Organization Name | BEAUMONT HOSPITAL-TROY |
| Practice Address |
26901 Beaumont Blvd, D - 5 Community Health Southfield MI 48033-3849 |
| Practice Telephone | 9475221313 |
| Mailing Telephone | 9475221313 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | CAROLYN WILSON (EVP CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9475223326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beaumont Hospital-Troy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1437600103 | William Beaumont Hospital | Pharmacy | 41965 Ecorse Rd Ste 100, Van Buren Twp, MI 48111-1164 | 2016-10-18 |
| 1881904365 | William Beaumont Hospital | Clinic/Center | 1026 Eleven Mile Road, Royal Oak, MI 48067-5401 | 2010-10-18 |
| 1093974016 | William Beaumont Hospital | Clinic/Center | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2008-06-05 |
| 1962413187 | William Beaumont Hospital | Clinic/Center | 15979 Hall Road, Suite 200, Macomb, MI 48044-5360 | 2006-08-11 |
| 1093744153 | William Beaumont Hospital | Home Infusion | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2006-07-01 |
| 1699704700 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 28105 Woodward Ave, Berkley, MI 48072-0910 | 2006-07-01 |
| 1598731465 | William Beaumont Hospital | Clinic/Center | 2624 11 Mile Rd, Berkley, MI 48072-3050 | 2006-02-28 |
| Street Address |
26901 BEAUMONT BLVD, D - 5 COMMUNITY HEALTH |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1083272686 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1598323172 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1417515016 | Oakwood Healthcare Inc | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd., Community Health, D - 5, Southfield, MI 48033-4716 | 2019-05-30 |
| 1346806130 | Oakwood Healthcare Inc | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1750686143 | Integrated Home Clinic | Clinic/Center | 23077 Greenfield Rd, 240, Southfield, MI 48075-3709 | 2011-01-18 |
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|---|---|---|---|---|
| 1093365835 | Sacred Heart Rehabilitation Center | Clinic/Center | 22256 Marine Ave, Eastpointe, MI 48021-2634 | 2019-09-13 |
| 1124677265 | Sacred Heart Rehabilitation Center | Clinic/Center | 23099 David Ave, Eastpointe, MI 48021-1826 | 2019-09-11 |
| 1699324731 | Sacred Heart Rehabilitation Center | Clinic/Center | 1504 E Greig Ave, Madison Heights, MI 48071-3826 | 2019-09-11 |
| 1013410596 | Our Wellness Hub | Clinic/Center | 17401 E 10 Mile Rd, Eastpointe, MI 48021-1256 | 2018-03-12 |
| 1235648700 | Sacred Heart Rehabilitation Center | Clinic/Center | 329 Butternut St, Benton Harbor, MI 49022-2922 | 2017-09-27 |
| 1326427162 | Holistic Healer & Wellness Center Inc | Clinic/Center | 3998 Clippert St, Dearborn Hts, MI 48125-2731 | 2015-05-27 |
| 1235540501 | Stehouwer Free Clinic | Clinic/Center | 201 N Mitchell St, L-1, Cadillac, MI 49601-1859 | 2014-05-08 |
| 1265875892 | Sedara Mae Healthcare Clinic, LLC | Clinic/Center | 1167 Madison Ave Se, Mailbox 5, Grand Rapids, MI 49507-1200 | 2013-04-12 |
| 1104177195 | Isabella Citizens for Health, Inc. | Clinic/Center | 2790 Health Pkwy, Mt Pleasant, MI 48858 | 2012-10-01 |
| 1952685588 | Match-e-be-nash-she-wish Band of Pottawatomi Indians | Clinic/Center | 2880 Mission Dr, Shelbyville, MI 49344-9580 | 2011-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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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.