NPIMap

Organization Active NPI

Providence

  • General Acute Care Hospital
  • Birmingham, MI
National Provider Identifier
1801918982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PROVIDENCE
Practice address
662 Purdy St
Unit 214
Birmingham, MI 48009-1731
Phone
(248) 417-4092
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cory Zachary Trivax
Title
Resident
Phone
(248) 417-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

662 Purdy St
Unit 214
Birmingham, MI 48009-1731

Mailing address

662 Purdy St
Unit 214
Birmingham, MI 48009-1731
Phone (248) 417-4092

National Provider Directory

National Provider Directory
Tax ID family
Providence Hosp Med Cen Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801918982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 PURDY ST",
            "address_2": "UNIT 214",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091731",
            "telephone_number": "248-417-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 PURDY ST",
            "address_2": "UNIT 214",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091731",
            "telephone_number": "248-417-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIVAX",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "ZACHARY",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "248-417-4092",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.