Active NPI
John D. Dingell VA Medical Center
- General Acute Care Hospital
- Detroit, MI
National Provider Identifier
1164613436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 5302024685
- Legal business name
- JOHN D. DINGELL VA MEDICAL CENTER
- Practice address
- 4646 John R St
Detroit, MI 48201-1916 - Phone
- (313) 576-1000
- NPI assigned
- Aug 5, 2007
- Last updated
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Maher, M.A., R.PH.
- Title
- Pharmacy Manager
- Phone
- (313) 576-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 5302024685 | MI | Primary |
Addresses
Primary practice location
4646 John R St
Detroit, MI 48201-1916
Mailing address
4646 John R St
Detroit, MI 48201-1916
Phone (313) 576-1000
National Provider Directory
National Provider Directory- Tax ID family
- Veterans Hosptial
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Chronic Disease Hospital
- Iron Mountain, MI
- NPI 1558398701
-
- Psychiatric Hospital
- Battle Creek, MI
- NPI 1780602896
Locations
4646 John R St
Detroit, MI 48201
Phone (313) 576-3389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186272000000",
"number": "1164613436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011916",
"telephone_number": "313-576-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011916",
"telephone_number": "313-576-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN D. DINGELL VA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A",
"authorized_official_last_name": "MAHER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "313-576-1000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A., R.PH."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MI",
"license": "5302024685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.