NPIMap

Organization Active NPI

Madison Community Hospital Inc

Doing business as The Behavioral Center of Michigan Hospital Pharmacy

  • Institutional Pharmacy
  • Warren, MI
National Provider Identifier
1790962157
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
5301008786 Issued in MI
Legal business name
MADISON COMMUNITY HOSPITAL INC
Doing business as
The Behavioral Center of Michigan Hospital Pharmacy
Practice address
4050 E 12 Mile Rd
Warren, MI 48092-2534
Phone
(586) 261-2266
Fax
(586) 582-9570
NPI assigned
Jan 29, 2008
Last updated
Jul 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Ryan Gunabalan
Title
Exect Admin
Phone
(586) 261-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 5301008786 MI Primary

Addresses

Primary practice location

4050 E 12 Mile Rd
Warren, MI 48092-2534

Mailing address

4050 E 12 Mile Rd
Warren, MI 48092-2534
Phone (586) 261-2266

Other identifiers 1

IdentifierTypeStateIssuer
2043619OtherPK

Other names 1

  • THE BEHAVIORAL CENTER OF MICHIGAN HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madison Communtiy Hospi5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1790962157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922534",
            "telephone_number": "586-261-2266",
            "fax_number": "586-582-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922534",
            "telephone_number": "586-261-2266",
            "fax_number": "586-582-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "GUNABALAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EXECT ADMIN",
        "authorized_official_telephone_number": "586-261-2266"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MI",
            "license": "5301008786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE BEHAVIORAL CENTER OF MICHIGAN HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.