| NPI | 1255316584 |
|---|---|
| Former Legal Business Name | PROVIDENCE-PROVIDENCE PARK HOSPITAL |
| Doing Business As | PROVIDENCE HOSPITAL AND MEDICAL CENTERS |
| Entity Type | Organization |
| Authorized Contact | BRANT M RUSSELL President And CEO 248-849-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2021-08-10 |