Provider Demographics
NPI:1871791285
Name:UNIVERSITY OF MICHIGAN MEDICAL CENTER
Entity type:Organization
Organization Name:UNIVERSITY OF MICHIGAN MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'GARA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, RN
Authorized Official - Phone:734-615-8592
Mailing Address - Street 1:328 THOMPSON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2264
Mailing Address - Country:US
Mailing Address - Phone:734-276-2496
Mailing Address - Fax:
Practice Address - Street 1:328 THOMPSON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2264
Practice Address - Country:US
Practice Address - Phone:734-276-2496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801072434261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health