Healthcare Provider Details

I. General information

NPI: 1285092767
Provider Name (Legal Business Name): HEALTH EMERGENCY ASSISTANCE OF DETROIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2016
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 HOWARD ST
DETROIT MI
48216-1921
US

IV. Provider business mailing address

1726 HOWARD ST
DETROIT MI
48216-1921
US

V. Phone/Fax

Practice location:
  • Phone: 313-832-3300
  • Fax: 313-818-3101
Mailing address:
  • Phone: 313-832-3300
  • Fax: 313-818-3101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TERESA ROSCOE
Title or Position: COO
Credential:
Phone: 313-832-3300