CASTLEMAN EMERGENCY CENTER PC NPI 1356323208

NPI Information

NPI: 1356323208
Provider Name: CASTLEMAN EMERGENCY CENTER PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D2277870

Address:
14050 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 283-0500
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CASTLEMAN EMERGENCY CENTER PC is an ambulatory surgical clinic center in Southgate, MI. CASTLEMAN EMERGENCY CENTER PC NPI is 1356323208. The provider is registered as an organization entity type.

The provider's business location address is:

14050 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195-501
Phone: (734) 283-0500
Fax: (734) 283-2720

The provider's authorized official is Lawrence D Castleman .
The authorized official title is President and has the following contact phone number (734) 283-0500.

The CLIA number assigned to this NPI record is 23D2277870 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	40370	OTHER		BCBS
2	3398300	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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