Organization · Type 2 NPI

Ascension Providence Hospital

Emergency Medical Services (Emergency Medicine) Physician · Southfield, MI

NPI number 1922061167 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Call (248) 849-3000 Map

Fax (248) 849-2244

Mailing address

3168 Solutions Center Box 773168
Chicago, IL 60677-0001

Specialties and licenses

Taxonomy	Code	License
Emergency Medical Services (Emergency Medicine) Physician Primary	207PE0004X	None listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

519 other providers at this address

Other emergency medical services (emergency medicine) physician providers in Southfield

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NPI record

NPI: 1922061167
Entity type: Organization (Type 2)
Issued: Apr 10, 2006
Last updated: Nov 15, 2023
Status: Active

Other names

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PH Emergency Medcine/providence Hosptial and Medical Centers Inc · other name
PH Emergency Medcine/providence Hosptial and Medical Centers Inc · other name

Authorized official

Sarah Starkel
Supervisor, Enrollment
(248) 680-8121

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922061167

Ascension Providence Hospital's National Provider Identifier is 1922061167, issued on Apr 10, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Southfield, MI. The record was last updated on Nov 15, 2023.