MEDICARE: HENRY FORD MACOMB HOSPITAL CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	2084N0400X	Neurology Physician	MI
2	2084P0804X	Child & Adolescent Psychiatry Physician	MI
3	2084P0800X	Psychiatry Physician	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	750910634	OTHER	MI	BLUE CROSS GROUP NUMBER

General Provider Information

NPI Number	:	1003950015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY FORD MACOMB HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	215 NORTH AVE
Second Line	:
City	:	MOUNT CLEMENS
State	:	MI
Zip	:	48043-1716
Country	:	US
Telephone Number	:	586-226-7007
Fax Number	:

Provider Business Practice Location Address
First Line	:	43411 GARFIELD RD
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48038-1152
Country	:	US
Telephone Number	:	586-226-7007
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PROVIDER AFFAIRS
Name	:	KELLY SSN RATOWSKI
Credential	:
Telephone Number	:	313-874-6764

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	06/14/2024

Similar Medicare Providers

1801975503 — NADINE R LOVELL MSW, CSW
Practice Location Address:

43411 GARFIELD RD STE A
CLINTON TOWNSHIP, MI
48038-1152

Practice Phone: 586-263-2760
Practice Fax: 586-263-2762

1174695548 — SUSAN SARAFIAN LPC
Practice Location Address:

43411 GARFIELD RD STE A
CLINTON TOWNSHIP, MI
48038-1152

Practice Phone: 586-263-2760
Practice Fax: 586-263-2762

1710059076 — CHRISTINE ROSE MANDICH MALLP
Practice Location Address:

43411 GARFIELD RD STE A
CLINTON TOWNSHIP, MI
48038-1152

Practice Phone: 586-263-2760
Practice Fax: 586-263-2762

1225171218 — HENRY FORD MACOMB HOSPITAL CORPORATION
Practice Location Address:

43411 GARFIELD RD
CLINTON TOWNSHIP, MI
48038-1152

Practice Phone: 586-226-7007
Practice Fax:

1992848972 — HENRY FORD MACOMB HOSPITAL CORPORATION
Practice Location Address:

43411 GARFIELD RD
CLINTON TOWNSHIP, MI
48038-1152

Practice Phone: 586-226-7007
Practice Fax:

1194869107 — HENRY FORD MACOMB HOSPITAL CORPORATION
Practice Location Address:

43411 GARFIELD RD
CLINTON TOWNSHIP, MI
48038-1152

Practice Phone: 586-226-7007
Practice Fax:

Directions to “HENRY FORD MACOMB HOSPITAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.