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Organization
HENRY FORD MACOMB HOSPITAL CORPORATION
Active
Organization
HENRY FORD MACOMB HOSPITAL CORPORATION
Active
Other names
Henry Ford Macomb Hospital- Warren Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M CONNELLY (SR. VICE PRESIDENT)
(313) 874-8714
Entity
Organization
Contact information
Practice address
13355 EAST 10 MILE RD, WARREN, MI 48089-2048
(313) 874-4633
(313) 847-3943
Mailing address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(313) 874-4633
(313) 847-3943
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023114634
—
MI
01
—
230204
MEDICARE PTAN
MI
Enumeration date
06/21/2006
Last updated
01/12/2011
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