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NPI Code Detail

MEDICARE: HENRY FORD HEALTH SYSTEM

MEDICARE: HENRY FORD HEALTH SYSTEM
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
1332BX2000XOxygen Equipment & Supplies (DME)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2540E027210OTHERMIBCBS OF MICHIGAN
32333OTHERMIHAP

General Provider Information

NPI Number : 1679548952
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENRY FORD HEALTH SYSTEM
Provider Business Mailing Address
First Line : 21651 MELROSE AVE
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48075-7906
Country : US
Telephone Number : 248-353-2468
Fax Number : 248-353-4260
Provider Business Practice Location Address
First Line : 159 KERCHEVAL AVE
Second Line : STE A
City : GROSSE POINTE FARMS
State : MI
Zip : 48236-3610
Country : US
Telephone Number : 313-640-2458
Fax Number : 313-640-2456
Authorized Official
Title or Position : CEO COMMUNITY CARE SERVICES
Name : JOHN POLANSKI
Credential :
Telephone Number : 248-723-0211
Provider Enumeration Date : 02/21/2006
Last Update Date : 04/02/2012

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Directions to “HENRY FORD HEALTH SYSTEM ” Practice Location

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