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Organization
HENRY FORD HEALTH SYSTEM
Active
Organization
HENRY FORD HEALTH SYSTEM
Active
Parent organization
HENRY FORD HEALTH SYSTEM
Other names
Henry Ford Health Products
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENRY FORD HEALTH SYSTEM
Authorized official
JOHN POLANSKI (CEO COMMUNITY CARE SERVICES)
(248) 723-0211
Entity
Organization
Contact information
Practice address
159 KERCHEVAL AVE, STE A, GROSSE POINTE FARMS, MI 48236-3610
(313) 640-2458
(313) 640-2456
Mailing address
21651 MELROSE AVE, SOUTHFIELD, MI 48075-7906
(248) 353-2468
(248) 353-4260
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2333
HAP
MI
05
—
4962566
—
MI
01
—
540E027210
BCBS OF MICHIGAN
MI
Enumeration date
02/21/2006
Last updated
04/02/2012
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