Provider Demographics
NPI:1487605168
Name:OAKWOOD HEALTHCARE, INC.
Entity type:Organization
Organization Name:OAKWOOD HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:E
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:947-522-3333
Mailing Address - Street 1:26901 BEAUMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1964
Mailing Address - Fax:
Practice Address - Street 1:10000 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-3330
Practice Address - Country:US
Practice Address - Phone:313-295-5000
Practice Address - Fax:313-295-5085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI820250282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI00016OtherBCBS PROV #
230270OtherOSCAR
MI49333OtherOMNICARE COVENTRY PROV #
MI301555575Medicaid
MI501255OtherCARE CHOICE PROV #
MI6331135OtherAETNA PROV #
MI000000001625OtherCAPE HEALTH PROV #
MI405170827Medicaid
MIP00192OtherBCN PROV #
MI006243OtherMIDWEST HLTH PROV #
MI101300OtherCHS/WELLNESS PROV #
MIHL820022OtherM-CARE PROV #
MI118628OtherGREAT LAKES HLTH PROV #
MI301555575Medicaid