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

Providence Hospital

Organization General Acute Care Hospital · NPI 1972763308

Providence Hospital is a General Acute Care Hospital in Southfield, Michigan. Licensed in Michigan and Virginia. Registered with an NPI since 2008.

Licensed in
MI, VA
In the registry since
2008
Specialties on file
2

Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3073
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 4301095168 (MI)
General Acute Care Hospital Taxonomy 282N00000X · Licence 0116017922 (VA)

Record details

NPI number1972763308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Juta — Surgery Resident Physician · (248) 849-3073
NPI enumeratedJune 10, 2008
Last updated in NPPESJuly 20, 2009
Mailing address16001 W 9 Mile Rd, Southfield, MI 48075-4818

Other providers in Southfield