Organization Active NPI

Tri-County Affiliated, Inc

  • Clinic/Center
  • Oak Park, MI
National Provider Identifier
1477595965
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRI-COUNTY AFFILIATED, INC
Practice address
21580 Greenfield Rd
Oak Park, MI 48237-3006
Phone
(248) 569-8200
Fax
(248) 569-8201
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Joy Lynette Marshall
Title
Office Manger
Phone
(248) 569-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

21580 Greenfield Rd
Oak Park, MI 48237-3006

Mailing address

21580 Greenfield Rd
Oak Park, MI 48237-3006
Phone (248) 569-8200

National Provider Directory

National Provider Directory

Locations

21580 Greenfield Rd
Oak Park, MI 48237
Phone (248) 968-1500

15565 Northland Dr W
Ste 709
Southfield, MI 48075
Phone (248) 443-9774

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1477595965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373006",
            "telephone_number": "248-569-8200",
            "fax_number": "248-569-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21580 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373006",
            "telephone_number": "248-569-8200",
            "fax_number": "248-569-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY AFFILIATED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "248-569-8200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.