NPIMap

Organization Active NPI

Children'S Hospital of Michigan

  • Urgent Care Clinic/Center
  • Clinton Township, MI
National Provider Identifier
1114061850
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CHILDREN'S HOSPITAL OF MICHIGAN
Practice address
42700 Garfield Rd
Suite 100
Clinton Township, MI 48038-4201
Phone
(586) 532-3410
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph Scallen, VP
Title
VP Finance
Phone
(313) 745-0633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

42700 Garfield Rd
Suite 100
Clinton Township, MI 48038-4201

Mailing address

3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-0633

Other names 1

  • Children's Hospital of Michigan After Hours Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hosp of M12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1114061850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-745-0633",
            "fax_number": "313-745-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42700 GARFIELD RD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384201",
            "telephone_number": "586-532-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "SCALLEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "313-745-0633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "VP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital of Michigan After Hours Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.