Provider Demographics
NPI:1508191602
Name:HARPER-HUTZEL HOSPITAL
Entity Type:Organization
Organization Name:HARPER-HUTZEL HOSPITAL
Other - Org Name:DMC SURGERY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO HARPER HUTZEL
Authorized Official - Prefix:MR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-745-9375
Mailing Address - Street 1:PO BOX 67000 DEPT 641164
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48267-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30671 STEPHENSON HWY
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-1635
Practice Address - Country:US
Practice Address - Phone:248-733-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23010401Medicare Oscar/Certification