SCOTT CORRECTIONL FACILITY (NPI# 1992728331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992728331 |
| Entity Type | Organization |
| Organization Name | SCOTT CORRECTIONL FACILITY |
| Practice Address |
47500 Five Mile Rd Plymouth MI 48170-2487 |
| Mailing Address |
3425 Cherokee Trl Ypsilanti MI 48198-9498 |
| Practice Telephone | 7344597400 |
| Mailing Telephone | 7344810239 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | DR. ARUNA BAVINENI (STAFF PSYCHIATRIST) |
| Authorized Official Telephone | 7344597400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
4301059562 | MI | Ambulatory Health Care Facilities |
| Street Address |
47500 FIVE MILE RD |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-2487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1568892859 | Harbor Health Services, Inc. | Clinic/Center | 10 Cordage Park Cir, Suite 115, Plymouth, MA 02360-7318 | 2013-11-22 |
| 1194927814 | Saint Joseph Regional Medical Center Plymouth Campus, Inc. | Clinic/Center | 116 E Washington St, Plymouth, IN 46563-1744 | 2007-06-04 |
| 1033327754 | Millennium Pharmacy | Clinic/Center | 1102 Ann Arbor Rd W, Plymouth, MI 48170-2131 | 2007-05-18 |
| 1275687634 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-23 |
| 1104970714 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
| 1235283847 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
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| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1376100479 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 | 2019-05-23 |
| 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 |
| 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 |
| 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.