Healthcare Provider Details

I. General information

NPI: 1356775001
Provider Name (Legal Business Name): HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2013
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27351 DEQUINDRE RD
MADISON HEIGHTS MI
48071-3487
US

IV. Provider business mailing address

27351 DEQUINDRE RD
MADISON HEIGHTS MI
48071-3487
US

V. Phone/Fax

Practice location:
  • Phone: 248-967-7000
  • Fax:
Mailing address:
  • Phone: 248-967-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY CEBALT
Title or Position: MANAGER
Credential:
Phone: 313-874-6764