Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Hospital

Organization Clinic/Center · NPI 1093943615

Providence Hospital is a Clinic/Center in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
Specialties on file
3

Practice location Address checks out

22250 Providence Dr Ste 500
Southfield, MI 48075-4825
Phone: (248) 849-3447
Fax: (248) 849-5389
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 4301094326 (MI)
Clinic/Center Taxonomy 261Q00000X · Licence 4301094326 (MI)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 4301094326 (MI)

Record details

NPI number1093943615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kai Palm — Resident Physician · (313) 622-5004
NPI enumeratedJune 23, 2009
Last updated in NPPESJune 23, 2009
Mailing address11692 Beaverland, Detroit, MI 48239-1357

Other providers in Southfield