BOTSFORD GENERAL HOSPITAL NPI 1417134149

NPI Information

NPI: 1417134149
Provider Name: BOTSFORD GENERAL HOSPITAL

Doing Business As: BOTSFORD PEDIATRIC ASSOC (NP)

Classification: Registered Nurse - 163WP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
23133 ORCHARD LAKE RD
SUITE 100
FARMINGTON, MI
ZIP 48336
Phone: (248) 477-0100
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BOTSFORD GENERAL HOSPITAL is a pediatrics registered nurse in Farmington, MI. BOTSFORD GENERAL HOSPITAL NPI is 1417134149. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Botsford Pediatric Assoc (np).

The provider's business location address is:

23133 ORCHARD LAKE RD
SUITE 100
FARMINGTON, MI
ZIP 48336-268
Phone: (248) 477-0100
Fax: (248) 477-6153

The provider's authorized official is Lesley Willbrandt .
The authorized official title is Director Shared Services and has the following contact phone number (947) 522-1911.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 8/16/2019.

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	163WP0200X	Registered Nurse	Pediatrics			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	500F335250	OTHER	MICHIGAN	BCBS

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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