| NPI | 1053480905 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-07 |
| Last Updated | 2024-09-12 |
| Authorized Official | Mary Clare Solky Hospital Director Phone: 7343678401 |
| Mailing Address | 30901 Palmer Road Westland, MI 48186-5389 United States Phone: (734) 367-8600 | Fax: (248) 349-9552 📍 View Map |
| Primary Practice Address | 30901 Palmer Road Westland, MI 48186-5389 United States Phone: (734) 367-8600 | Fax: (248) 349-9552 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 1758890 | — |
| Other (non-Medicare) | — | 2040978 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 283Q00000X – Psychiatric Hospital | — | — |
| No | 333600000X – Pharmacy | — | — |
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | MI | 5301000760 |
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About NPI 1053480905
State Of Michigan is an organization registered in the CMS NPPES NPI Registry with NPI number 1053480905. The primary specialty listed is Psychiatric Hospital. The organization is located in Westland, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053480905?
NPI 1053480905 belongs to State Of Michigan, a Psychiatric Hospital in Westland, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053480905 active?
The current status of NPI 1053480905 in the NPPES registry is Active. The record was last updated on 2024-09-12.
What specialty is NPI 1053480905?
NPI 1053480905 is classified under the taxonomy Psychiatric Hospital. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053480905?
You can verify NPI 1053480905 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053480905?
The primary practice address on file for NPI 1053480905 is 30901 Palmer Road, Westland, MI 48186-5389. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053480905 issued?
NPI 1053480905 was first issued (enumerated) on 2006-11-07. The NPPES record was last updated on 2024-09-12.
Practice Location Map
State Of Michigan is located at 30901 Palmer Road, Westland, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as State Of Michigan. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053480905. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Long Term Care Pharmacy | 5301000760 | MI |