OrganizationActive
Providence Hospital
NPI 1548486681 · General Acute Care Hospital · Grass Lake, MI
Providence Hospital is a General Acute Care Hospital organization in Grass Lake, MI (NPI 1548486681).
Provider details
- NPI number
- 1548486681
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Vijay Mittal, Program Director(248) 849-3073
- License
- L952723 (MI)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10508 Keane Dr
Grass Lake, MI 49240-8803
Phone: (517) 522-4451
Street-level locationGet directions
Mailing address
16001 West 9 Mile Road
Southfield, MI 48075
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Providence Hospital's NPI number?
- Providence Hospital's National Provider Identifier (NPI) is 1548486681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Hospital?
- Providence Hospital is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Providence Hospital located?
- Providence Hospital's practice location on file with NPPES is 10508 Keane Dr, Grass Lake, MI 49240-8803.
- What is Providence Hospital's phone number?
- The practice phone number listed in the NPPES registry for Providence Hospital is (517) 522-4451.
- Who is the authorized official for Providence Hospital?
- The authorized official listed on Providence Hospital's NPPES record is Vijay Mittal, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Hospital's NPI active?
- Yes — Providence Hospital's NPI (1548486681) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.