BEAUMONT HEALTH
NPI 1497290456
Clinic/Center in Southgate, MI

Active since December 30, 2016
15777 NORTHLINE, SOUTHGATE, MI 48195(313) 570-7906 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaumont Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUMONT HEALTH (NPI 1497290456) is a healthcare organization registered as a clinic/center in Southgate, Michigan and active in the NPI registry since December 2016. The organization lists Diane Pearl, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1497290456
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBEAUMONT HEALTH
Location Address15777 NORTHLINESouthgate, MI 48195
Mailing Address17801 SnowDearborn, MI 48124
Organization SubpartNo
Authorized OfficialDiane PearlNurse Practitioner · (313) 570-7906
Enumeration DateDecember 30, 2016
NPI 1497290456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in MI · 4704208352
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
15777 NORTHLINE, Southgate, MI 48195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaumont Health's NPI number?

The NPI number for Beaumont Health is 1497290456. It was assigned to this organization in the NPPES registry on December 30, 2016.

Where is Beaumont Health located?

Beaumont Health is located at 15777 Northline, Southgate, MI 48195. The listed phone number is (313) 570-7906.

What is Beaumont Health's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Beaumont Health was last updated on December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.