Active NPI
Childrens Hospital of Michigan
- Children's Hospital
- Detroit, MI
National Provider Identifier
1922068378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- Legal business name
- CHILDRENS HOSPITAL OF MICHIGAN
- Practice address
- 3901 Beaubien St
Detroit, MI 48201-2119 - Phone
- (313) 578-2564
- Fax
- (313) 578-3964
- NPI assigned
- Mar 27, 2006
- 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
- Ms. Jackie Hill, VP
- Title
- Vice President of Finance
- Phone
- (313) 578-8564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Hospital | 282NC2000X | Primary |
Addresses
Primary practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 578-2564
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244 | Other | MI | BLUECROSSFACILITYPROVIDER |
| 405170326 | Medicaid | MI | |
| 301557810 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
3663 Woodward Ave
Ste 200
Detroit, MI 48201
Phone (313) 578-2250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1922068378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-578-2564",
"fax_number": "313-578-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-578-2564",
"fax_number": "313-578-3964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS HOSPITAL OF MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2011-02-01",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "313-578-8564",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "VP"
},
"taxonomies": [
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSFACILITYPROVIDER",
"identifier": "00244",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405170326",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301557810",
"state": "MI"
}
],
"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 Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.