DETROIT RECEIVING HOSPITAL (NPI# 1699978502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699978502 |
| Entity Type | Organization |
| Organization Name | DETROIT RECEIVING HOSPITAL |
| Practice Address |
4201 Saint Antoine St Detroit MI 48201-2153 |
| Practice Telephone | 3135782164 |
| Practice Fax Number | 3135783964 |
| Mailing Telephone | 3135782164 |
| Mailing Fax Number | 3135783964 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. GLORIA LARKINS (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 3135782164 |
| Authorized Official Credential | VICE PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM PROVIDER ID | 0H21525 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649589078 | Detroit Receiving Hospital | Clinic/Center | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2010-10-04 |
| 1346572278 | Detroit Receiving Hospital | Registered Nurse | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2010-02-03 |
| 1235374034 | Detroit Receiving Hospital | Clinic/Center | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2008-12-08 |
| 1740244334 | Detroit Receiving Hospital | Psychiatric Unit | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2006-04-12 |
| Street Address |
4201 SAINT ANTOINE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477871 | John Mckay Perkowski | Nurse Anesthetist, Certified Registered | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2005-09-14 |
| 1013517028 | Madappulli Arachchige Wickrama | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-10-28 |
| 1134731466 | Helda Bacall | Nurse Practitioner | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-08-18 |
| 1568088680 | Michelle De Varennes | Physician Assistant | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-24 |
| 1235754144 | Saren Yeranosian | Pharmacist | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-16 |
| 1083239230 | Jacqueline Ferraro-jaworski | Pharmacist | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-13 |
| 1770107617 | Zamaan Sayeed Sohel | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-06 |
| 1881218790 | Erin Marie Dinnell | Nurse Practitioner | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-05 |
| 1487276721 | Andrew R Kumar | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-05-09 |
| 1598386005 | Kayla Richelle Robinson | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-05-06 |
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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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033698477 | Cason Adult Day Program Inc | Clinic/Center | 8200 Rolyat St, Detroit, MI 48234-3358 | 2018-08-07 |
| 1922509884 | Village of Hope Senior Center | Clinic/Center | 3127 E Canfield St, Detroit, MI 48207-1508 | 2018-02-26 |
| 1316481195 | Wayne State University | Clinic/Center | 3901 Chrysler Services Drive, Detroit, MI 48201 | 2016-12-13 |
| 1730555640 | A New Beginning | Clinic/Center | 2690 West Boston Blvd, Detroit, MI 48206-1751 | 2015-08-14 |
| 1225368301 | William W. Martin, Md PC | Clinic/Center | 5575 Conner, Suite 208, Detroit, MI 48213 | 2010-01-12 |
| 1861729691 | Swilliams Services, LLC | Clinic/Center | 18965 Santa Barbara Dr, Detroit, MI 48221-2151 | 2009-11-16 |
| 1649354606 | K&k Assisted | Clinic/Center | 12060 Indiana St, Detroit, MI 48204-1084 | 2006-10-25 |
| 1477174589 | Ltd Psychological Services | Clinic/Center | 15 E Kirby St, Suite 107b, Detroit, MI 48202-4043 | 2020-04-29 |
| 1801450853 | Harvey-jakson Consulting | Clinic/Center | 19115 W 7 Mile Rd, Detroit, MI 48219-2706 | 2019-04-25 |
| 1962842005 | Mindful Moments LLC | Clinic/Center | 5737 Harvard Rd, Detroit, MI 48224-2007 | 2013-07-03 |
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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.