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HURON MEDICAL CENTER P.C. NPI 1447277496


NPI Information

NPI: 1447277496
Provider Name: HURON MEDICAL CENTER P.C.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 23D0915078

Address:
1221 PINE GROVE AVE
PORT HURON, MI
ZIP 48060
Phone: (810) 982-5200
Get Directions

HURON MEDICAL CENTER P.C. is a hematology and oncology internal medicine in Port Huron, MI. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. HURON MEDICAL CENTER P.C. NPI is 1447277496. The provider is registered as an organization entity type.

The provider's business location address is:

1221 PINE GROVE AVE
PORT HURON, MI
ZIP 48060-511
Phone: (810) 982-5200
Fax: (810) 982-9776

The provider's authorized official is Theresa Lynn Stiles .
The authorized official title is Office Manager/biller and has the following contact phone number (810) 982-5200.

The CLIA number assigned to this NPI record is 23D0915078 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 11/4/2021.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2207RH0003XInternal MedicineHematology & Oncology4301051703MICHIGANYes

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
1P115104OTHERMICHIGANBCN HANNA
23165470MEDICAIDMICHIGAN
3110G41039OTHERMICHIGANBCBSM HANNA
44397059MEDICAIDMICHIGAN
5P78652OTHERMICHIGANBCN ALSAWAH

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

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