| Organization Name: | WILLIAM BEAUMONT HOSPITAL |
| NPI Number: | 1093974016 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH COUNTS (RENAL ADMINISTRATOR) |
| Mailing Address: | 23231 John R Rd Hazel Park |
| State: | MI US |
| Postal Code: | 480301476 |
| Phone Number: | 2485450550 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |