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Ascension Providence Hospital
Emergency Medical Services (Emergency Medicine) Physician in Southfield, Michigan
NPI 1922061167

Ascension Providence Hospital is a Emergency Medical Services (Emergency Medicine) Physician based in Chicago, MI and is specialized in Emergency Medical Services. Ascension Providence Hospital practices in Southfield, MI. The NPI Number for Ascension Providence Hospital is 1922061167 and holds a License No. (Michigan).

The current practice location address for Ascension Providence Hospital is 16001 W 9 Mile Rd, Southfield, MI and can be reached out via phone at 248-849-3000 and via fax at 248-849-2244. You can also correspond with Ascension Providence Hospital through the mailing address at 3168 SOLUTIONS CENTER BOX 773168, CHICAGO, IL - 60677-0001 (mailing address contact number: 248-680-8000).

Location: 16001 W 9 Mile Rd, Southfield, MI, 60677-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922061167
Provider Name
Ascension Providence Hospital
Credential
Provider Entity Type
Organization
Address
16001 W 9 Mile Rd, Southfield, MI, 60677-0001
Phone Number
248-849-3000
Fax Number
248-849-2244
Provider Enumeration Date
04/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010F376920 01 MI MI BLUE CROSS GROUP PIN #
institution
Provider Business Practice Location Address Details
Address
16001 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-3000
Fax Number
248-849-2244
person
Provider Business Mailing Address Details
Address
3168 Solutions Center Box 773168
City
Chicago
State
Illinois
Zip
60677-0001
Phone Number
248-680-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
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Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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