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Organization
HENRY FORD HEALTH SYSTEM
Active
Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
Henry Ford Cottage Hospital (Rehab)
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CONNELLY (CFO)
(313) 876-8714
Entity
Organization
Contact information
Practice address
159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 48236-3610
(313) 640-1000
(313) 884-8927
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(586) 498-4960
(586) 498-4936
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
82-0040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001537
E04 CAPE HEALTH
MI
01
—
010900
E21 CARELINK NETWO
MI
01
—
0726021
H71 AETNA HMO
MI
01
—
121143
H50 PREFERRED CHOI
MI
01
—
14599
E22 PERSON CENTER
MI
01
—
200
OTHER: BCBSM
MI
01
—
266564000
E20 COMM BEHAVIOR
MI
05
—
30 2774932
—
MI
01
—
341420303
J23 MEADOWBROOK
MI
01
—
369003700
J52 US DEPT/LABOR
MI
01
—
383404533002
G03 TRICARE
MI
01
—
49882
H45 OMNICARE
MI
01
—
55150
H61 TOTAL HLTH CAR
MI
Enumeration date
10/26/2006
Last updated
03/17/2011
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