OAKWOOD SOUTHSHORE SURGERY CENTER LLC NPI 1083653935

NPI Information

NPI: 1083653935
Provider Name: OAKWOOD SOUTHSHORE SURGERY CENTER, LLC

Doing Business As: OAKWOOD SOUTHSHORE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
5452 FORT ST
SUITE 100
TRENTON, MI
ZIP 48183
Phone: (734) 479-7070
Get Directions

OAKWOOD SOUTHSHORE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Trenton, MI. OAKWOOD SOUTHSHORE SURGERY CENTER, LLC NPI is 1083653935. The provider is registered as an organization entity type.
The provider Is Doing Business As Oakwood Southshore Surgery Center.

The provider's business location address is:

5452 FORT ST
SUITE 100
TRENTON, MI
ZIP 48183-601
Phone: (734) 479-7070
Fax: (734) 479-7074

The provider's authorized official is Barry M Cullen .
The authorized official title is Board Manager and has the following contact phone number (313) 982-3010.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 10/20/2009.

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	826847	MICHIGAN	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	0P11500	MEDICARE UPIN	MICHIGAN
2	23C0001055	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	PROVIDER NUMBER

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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