| Organization Name: | WILLIAM BEAUMONT HOSPITAL |
| NPI Number: | 1093744153 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH G KLEINHOMER (SENIOR VICE PRESIDENT) |
| Mailing Address: | 1410 E 14 Mile Rd Madison Heights |
| State: | MI US |
| Postal Code: | 480711541 |
| Phone Number: | 2487436500 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2006 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |