Provider Demographics
NPI:1104918655
Name:METROPOLITAN HEALTH CARE INC
Entity type:Organization
Organization Name:METROPOLITAN HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGGIONCALDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-386-9400
Mailing Address - Street 1:PO BOX 831
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-0831
Mailing Address - Country:US
Mailing Address - Phone:313-386-9400
Mailing Address - Fax:734-947-1911
Practice Address - Street 1:1340 JOHN A PAPALAS DR
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-1356
Practice Address - Country:US
Practice Address - Phone:313-386-9400
Practice Address - Fax:734-947-1911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI8210703416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M38410Medicare ID - Type Unspecified