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

Providence Hospital

Organization General Acute Care Hospital · NPI 1548486681

Providence Hospital is a General Acute Care Hospital in Grass Lake, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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Practice location Address checks out

10508 Keane Dr
Grass Lake, MI 49240-8803
Phone: (517) 522-4451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence L952723 (MI)

Record details

NPI number1548486681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vijay Mittal — Program Director · (248) 849-3073
NPI enumeratedApril 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address16001 West 9 Mile Road, Department Of General Surgery, Southfield, MI 48075