Provider Demographics
NPI:1285072736
Name:ADRIAN DOMINICAN SISTERS
Entity type:Organization
Organization Name:ADRIAN DOMINICAN SISTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CORRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-266-3512
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-0489
Mailing Address - Country:US
Mailing Address - Phone:517-266-3400
Mailing Address - Fax:517-266-3569
Practice Address - Street 1:1257 E SIENA HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1755
Practice Address - Country:US
Practice Address - Phone:517-266-3400
Practice Address - Fax:517-266-3569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center