DETROIT HEALTH DEPARTMENT – NPI #1134398027
Clinic/Center

DETROIT HEALTH DEPARTMENT is an AHC clinic located in HAMTRAMCK, MI. NPPES has assigned the NPI number 1134398027 to DETROIT HEALTH DEPARTMENT on February 25, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DETROIT HEALTH DEPARTMENT” is a dba name, the actual legal business name for this organization is SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 13 years ago on Jul 16, 2013. 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 DETROIT HEALTH DEPARTMENT below.

NPI Profile for
SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION

NPI Number
1134398027
Enumeration Date

(more than 18 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
SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION
Doing Business As (dba): DETROIT HEALTH DEPARTMENT
Primary location
11447 JOSEPH CAMPAU
HAMTRAMCK, MI 48212
Phone: (313) 365-1362 Fax: (313) 365-1350
Mailing address
3011 WEST GRAND BOULEVARD
SUITE 200
DETROIT, MI 48202
Phone: (313) 873-6500 Fax: (313) 873-8137
Organization Subpart
No
Authorized Official
THOMAS CIESZYNSKI
EXECUTIVE DIRECTOR
Phone: (313) 873-6500
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
261QS1000X
- Clinic/Center / Student Health (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.