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 | 273R00000X | Psychiatric Unit | | H-630001 | 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 | 000000001537 | OTHER | MICHIGAN | E04 CAPR HEALTH |
2 | 383404533002 | OTHER | MICHIGAN | G02 CHAMPVA CENTER |
3 | 23-S135 | MEDICARE ID-TYPE UNSPECIFIED | MICHIGAN | MEDICARE |
4 | 121143 | OTHER | MICHIGAN | H08 CARE CHOICES HMO |
5 | 369003700 | OTHER | MICHIGAN | J52 US DEPT/LABOR |
6 | 200 | OTHER | MICHIGAN | OTHER: BCBSM |
7 | 341420303 | OTHER | MICHIGAN | J23 MEADOWBROOK |
8 | 49882 | OTHER | MICHIGAN | H45 OMNICARE |
9 | 383404533002 | OTHER | MICHIGAN | G01 TRI-CARE |
10 | 73 1557865 | MEDICAID | MICHIGAN | |
11 | 383404533002 | OTHER | MICHIGAN | G03 TRICARE |
12 | 0726021 | OTHER | MICHIGAN | H71 AETNA HMO |
13 | 266564000 | OTHER | MICHIGAN | E20 COMM BEHAVIOR |
14 | 010900 | OTHER | MICHIGAN | E21 CARELINK NETWO |
15 | 55150 | OTHER | MICHIGAN | H61 TOTAL HLTH CAR |
16 | 121143 | OTHER | MICHIGAN | H50 PREFERRED CHOI |
17 | 14599 | OTHER | MICHIGAN | E22 PERSON CENTER |