Provider Demographics
NPI:1295785285
Name:OAKWOOD HEALTHCARE, INC.
Entity type:Organization
Organization Name:OAKWOOD HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:E
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:947-522-3333
Mailing Address - Street 1:26901 BEAUMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1963
Mailing Address - Fax:
Practice Address - Street 1:33155 ANNAPOLIS ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-2405
Practice Address - Country:US
Practice Address - Phone:734-467-4000
Practice Address - Fax:734-467-4017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI820010282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI101010OtherCHS/WELLNESS PROV#
MI104664OtherCARE CHOICE PROV #
MI301558236Medicaid
MIHL820001OtherM-CARE PROV #
MI118627OtherGREAT LAKES HLTH PROV #
MI6331200OtherAETNA PROV #
230142OtherOSCAR
MI49339OtherOMNICARE COVENTRY PROV #
MI000000001625OtherCAPE HEALTH PROV #
MI00176OtherBCBS PROV #
MI006112OtherMIDWEST HLTH PROV #
MI405170077Medicaid
MIP00063OtherBCN PROV #
MI405170077Medicaid