MEDICARE: HENRY FORD HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	4301096103	MI

General Provider Information

NPI Number	:	1003143397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY FORD HOSPITAL

Provider Business Mailing Address
First Line	:	1350 BETHUNE AVE
Second Line	:	APT 802
City	:	DETROIT
State	:	MI
Zip	:	48202-2689
Country	:	US
Telephone Number	:	862-754-9322
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 W BETHUNE ST
Second Line	:	APT 802
City	:	DETROIT
State	:	MI
Zip	:	48202-2600
Country	:	US
Telephone Number	:	862-754-9322
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PROVIDER AFFAIRS
Name	:	MRS. KELLY RATOWSKI
Credential	:
Telephone Number	:	313-874-4806

Provider Enumeration Date	:	11/08/2009
Last Update Date	:	08/23/2024

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