Provider Demographics
NPI:1306387675
Name:VHS DETROIT BUSINESSES INC
Entity Type:Organization
Organization Name:VHS DETROIT BUSINESSES INC
Other - Org Name:DMC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PLAN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-543-0161
Mailing Address - Street 1:4707 SAINT ANTOINE ST
Mailing Address - Street 2:SUITE 5 SOUTH
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-1427
Mailing Address - Country:US
Mailing Address - Phone:800-543-0161
Mailing Address - Fax:313-745-0772
Practice Address - Street 1:4707 SAINT ANTOINE ST
Practice Address - Street 2:SUITE 5 SOUTH
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-1427
Practice Address - Country:US
Practice Address - Phone:800-543-0161
Practice Address - Fax:313-745-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization