Bon Secours Place At St. Clair Shores in St Clair Shores - Exclusive Provider Organization
Bon Secours Place At St. Clair Shores - NPI 1629059563
Bon Secours Place At St. Clair Shores is a Exclusive Provider Organization in St Clair Shores, Michigan. Bon Secours Place At St. Clair Shores practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Bon Secours Place At St. Clair Shores is 1629059563. The last update date is 2020-08-22.
Bon Secours Place At St. Clair Shores's current location address is 26101 Jefferson Ave, St Clair Shores, Michigan. You can contact this provider via phone number 5864984500 and fax number 5864984599. The mailing address for Bon Secours Place At St. Clair Shores is 26101 Jefferson Ave, St Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bon Secours Place At St. Clair Shores |
|---|---|
| Address | 26101 Jefferson Ave, St Clair Shores, Michigan |
| Phone Number | 5864984500 |
| Fax Number | 5864984599 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Mager Gretchin |
| Telephone Number | 5864984501 |
NPI Number Detail
| NPI Number | 1629059563 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 26101 Jefferson Ave |
|---|---|
| City | St Clair Shores |
| State | Michigan (MI) |
| Post Code | 480812348 |
| Phone Number | 5864984500 |
| Fax Number | 5864984599 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
|
Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
|
Post Comment/ Review Below
What is the unique identifier code issued to Bon Secours Place At St. Clair Shores by the Centers for Medicare & Medicaid Services (CMS)?
The Bon Secours Place At St. Clair Shores has been assigned the NPI (National Provider Identifier) 1629059563. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Bon Secours Place At St. Clair Shores is physically located?
The Bon Secours Place At St. Clair Shores is situated at the following address: 26101 Jefferson Ave, St Clair Shores, MI 480812348.
What is Bon Secours Place At St. Clair Shores's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bon Secours Place At St. Clair Shores is Exclusive Provider Organization, and the corresponding taxonomy classification code for this specialized field is 302F00000X.
When did Bon Secours Place At St. Clair Shores receive its 1629059563 assignment?
The Bon Secours Place At St. Clair Shores was assigned its 1629059563 on 2005-11-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Bon Secours Place At St. Clair Shores, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bon Secours Place At St. Clair Shores, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.