Organization Active NPI

Henry Ford Macomb Hospital-Warren Campus

  • Student in an Organized Health Care Education/Training Program
  • Galveston, TX
National Provider Identifier
1285950295
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS
Practice address
123 Dolphin Ave
Galveston, TX 77550-3201
Phone
(248) 921-2195
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Ms. Denise Jacob
Title
Medical Education Admin. Assistant
Phone
(586) 759-7641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

123 Dolphin Ave
Galveston, TX 77550-3201

Mailing address

123 Dolphin Ave
Galveston, TX 77550-3201
Phone (248) 921-2195

National Provider Directory

National Provider Directory
Tax ID family
Det Osteo Hosp Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1285950295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DOLPHIN AVE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503201",
            "telephone_number": "248-921-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DOLPHIN AVE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503201",
            "telephone_number": "248-921-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MEDICAL EDUCATION ADMIN. ASSISTANT",
        "authorized_official_telephone_number": "586-759-7641",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.