# HENR Y FORD HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HENR Y FORD HEALTH SYSTEM
- **Other names:** Henry Ford Virtual Care Center - GM Tech Center Warren
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699342394
- **Legal business name:** HENR Y FORD HEALTH SYSTEM
- **Authorized official:** KIMBERLY CEBALT (LEAD ENROLLMENT SPECIALIST)
- **Authorized official phone:** (313) 874-6764

## Contact information

- **Practice address:** 29427 LOUIS CHEVROLET RD, WARREN, MI 48093-1816
- **Practice address phone:** (800) 653-6568
- **Mailing address:** 1 FORD PL STE 2E, DETROIT, MI 48202-3450
- **Mailing address phone:** (313) 874-4806
- **Mailing address fax:** (313) 876-1305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2021
- **Last updated:** 06/10/2021