| Prime Healthcare Services - Garden City, Llc | |
|
6245 Inkster Rd Garden City MI 48135-4001 | |
| (734) 458-4421 | |
| Not Available |
| Full Name | Prime Healthcare Services - Garden City, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 6245 Inkster Rd, Garden City, Michigan |
| Authorized Official Name and Position | Christopher Doan (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services - Garden City, Llc 6245 Inkster Rd Garden City MI 48135-4001 Ph: (734) 458-4421 | Prime Healthcare Services - Garden City, Llc 6245 Inkster Rd Garden City MI 48135-4001 Ph: (734) 458-4421 |
| NPI Number | 1407480247 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Medicare PECOS PAC ID | 6800013459 |
|---|---|
| Medicare Enrollment ID | O20200407002871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407480247 | NPI | - | NPPES |
| 00006 | Other | MI | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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