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Beaumont Health

General Acute Care Hospital in Royal Oak, MI. Organization (NPI-2).

NPI number1174904601
StatusActive
Last updated in NPPESOct 1, 2021

Details

NPI
1174904601
Entity type
Organization (NPI-2)
Legal business name
Beaumont Health
Organization subpart
No
Enumeration date
Jun 10, 2015
Certification date
Oct 1, 2021
Last updated
Oct 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital––Yes
261Q00000X Clinic/Center––

Practice location

3601 W 13 Mile Rd
111 Mob, Ste. 329
Royal Oak, MI 48073-6712

Phone 248-551-0845

Mailing address

26901 Beaumont Blvd
Compliance
Southfield, MI 48033-3849

Phone 947-522-1964

Authorized official

Lee Ann Odom
President Shared Services
9475223326

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