DIVINE MEDICAL CARE – NPI #1225363203
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

DIVINE MEDICAL CARE is an AHC clinic located in DETROIT, MI. NPPES has assigned the NPI number 1225363203 to DIVINE MEDICAL CARE on October 09, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIVINE MEDICAL CARE below.

NPI Profile for
DIVINE MEDICAL CARE

NPI Number
1225363203
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIVINE MEDICAL CARE
Primary location
2141 E JEFFERSON AVE
SUITE 2
DETROIT, MI 48207-4128
Phone: (313) 393-3141 Fax: (313) 393-3144
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PETER NWOKE
MEDICAL DIRECTOR
Phone: (313) 393-3141
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.