| Children's Ambulatory Services, LLC | |
|
21431 Grand River Ave Detroit MI 48219-3801 | |
| (313) 745-0633 | |
| (313) 745-0633 |
| Full Name | Children's Ambulatory Services, LLC |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 21431 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Joseph Scallen (VP FINANCE) |
| Authorized Official Contact | 3137450633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Ambulatory Services, LLC 3901 Beaubien St Detroit MI 48201-2119 Ph: (313) 745-0633 | Children's Ambulatory Services, LLC 21431 Grand River Ave Detroit MI 48219-3801 Ph: (313) 745-0633 |
| NPI Number | 1033253794 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033253794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (NU) | Primary |
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