BOTSFORD GENERAL HOSPITAL (NPI# 1619079043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619079043 |
| Entity Type | Organization |
| Organization Name | BOTSFORD GENERAL HOSPITAL |
| Other Organization Name | BOTSFORD OUTPATIENT PHARMACY |
| Practice Address |
28100 Grand River Ave Ste 101 Farmington Hills MI 48336-5967 |
| Mailing Address |
26901 Beaumont Blvd Compliance Southfield MI 48033-4716 |
| Practice Telephone | 2484718700 |
| Practice Fax Number | 2484718705 |
| Mailing Telephone | 9475221963 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | CAROLYN S WILSON (EVP & COO) |
| Authorized Official Telephone | 9475223338 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOTSFORD GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301004734 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2342296 | 05 | |
| PK | 2040053 | 01 |
| Other Name | Type Code |
|---|---|
| BOTSFORD OUTPATIENT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1780819664 | Botsford General Hospital | Family Medicine | 14001 Greenfield, Detroit, MI 48227-2101 | 2009-05-21 |
| 1821116609 | Botsford General Hospital | Clinic/Center | 21440 Archwood Cir, Farmington Hills, MI 48336-4127 | 2007-03-27 |
| 1013079573 | Botsford General Hospital | Neuromusculoskeletal Medicine & OMM | 39750 Grand River Ave, Attn Omm Clinic, Novi, MI 48375-2106 | 2006-12-14 |
| 1871521153 | Botsford General Hospital | Family Medicine | 28100 Grand River Ave Ste 313s, Farmington Hills, MI 48336-5970 | 2006-06-28 |
| 1568404853 | Botsford General Hospital | Clinic/Center | 26905 Grand River Ave, Redford, MI 48240-1602 | 2006-06-12 |
| 1245896000 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd., Community Health - D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1720593478 | Botsford General Hospital | Social Worker | 25605 Orangelawn, Redford, MI 48239-2048 | 2017-12-04 |
| 1609311794 | Botsford General Hospital | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2016-12-27 |
| 1972054039 | Botsford General Hospital | Physician Assistant | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2016-10-24 |
| Street Address |
28100 GRAND RIVER AVE STE 101 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801319 | Homer C Linard | Orthopaedic Surgery | 28100 Grand River Ave, Ste 209, Farmington Hills, MI 48336-5969 | 2005-06-14 |
| 1780242545 | Alhan Beydoun | Family Medicine | 28100 Grand River Ave, Farmington Hills, MI 48336-5967 | 2019-06-05 |
| 1295236172 | Devanshi Hardik Patel | Physical Therapist | 28100 Grand River Ave, Farmington Hills, MI 48336-5967 | 2018-02-26 |
| 1013417534 | Samata Kosna | Physical Therapist | 28100 Grand River Ave, Farmington Hills, MI 48336-5967 | 2018-02-21 |
| 1255868972 | Sarah Mills | Orthopaedic Surgery | 28100 Grand River Ave, Suite 200, Farmington Hills, MI 48336-5967 | 2017-05-11 |
| 1316473424 | Robert Cope | Orthopaedic Surgery | 28100 Grand River Ave, Suite 200, Farmington Hills, MI 48336-5967 | 2017-05-10 |
| 1548795230 | William Talmadge Gunther IIi | Family Medicine | 28100 Grand River Ave, Ste. 313, Farmington Hills, MI 48336-5967 | 2017-05-01 |
| 1083094676 | Alex Robert Martin | Radiology | 28100 Grand River Ave, Ste 313-south, Farmington Hills, MI 48336-5967 | 2015-06-09 |
| 1154701084 | Marisa Burla | Family Medicine | 28100 Grand River Ave, Suite 313 South, Farmington Hills, MI 48336-5967 | 2015-06-05 |
| 1437301405 | Botsford General Hosptial | Dietitian, Registered | 28100 Grand River Ave, Suite 301, Farmington Hills, MI 48336-5967 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770882391 | City Pharmacy, Inc | Pharmacy | 29312 Orchard Lake Rd, 29312 Orchard Lake Rd, Farmington Hills, MI 48334-2967 | 2011-03-22 |
| 1497991269 | Galaxy Pharmacy Inc | Pharmacy | 33100 W 12 Mile Rd, Farmington Hills, MI 48334-3307 | 2008-12-30 |
| 1437251725 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22250 Middlebelt Rd, Farmington Hills, MI 48336-4935 | 2006-09-05 |
| 1346342631 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 27660 Middlebelt Rd, Farmington Hills, MI 48334-5001 | 2006-09-05 |
| 1467554741 | Farmington Medical Pharmacy Inc | Pharmacy | 23800 Orchard Lakr Rd, Ste 102, Farmington Hills, MI 48336 | 2006-09-05 |
| 1154433092 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 37700 W 12 Mile Rd, Farmington Hills, MI 48331-3029 | 2006-08-31 |
| 1811005275 | Warren Prescriptions, Inc | Pharmacy | 32910 Middlebelt Road, Farmington Hills, MI 48334 | 2006-08-27 |
| 1952842619 | Farmington Hills Pharmacy Pllc | Pharmacy | 27970 Orchard Lake Rd, Farmington Hills, MI 48334-3767 | 2017-03-14 |
| 1831498948 | Oakland Drugs LLC | Pharmacy | 28300 Orchard Lake Rd, Suite # 101, Farmington Hills, MI 48334-3704 | 2011-03-16 |
| 1710015177 | Morgus Inc | Pharmacy | 33250 W 12 Mile Rd, Farmington Hills, MI 48334-3309 | 2007-02-28 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
Please comment or provide details below to improve the information on BOTSFORD GENERAL HOSPITAL.
| 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.