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Organization
FOREST HEALTH MEDICAL CENTER LLC
Active
Organization
FOREST HEALTH MEDICAL CENTER LLC
Active
Other names
Forest Health Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
EJ LEDESMA (PRESIDENT)
(734) 547-1410
Entity
Organization
Contact information
Practice address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4722
(734) 547-1461
Mailing address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4721
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
5301007213
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135339
PK
—
05
—
304274504
—
MI
Enumeration date
07/22/2006
Last updated
10/22/2018
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