Organization
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Active
Organization
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Active
Other names
Henry Ford Providence Hospital, Providence-Providence Park Hospital, Henry Ford Health Providence Novi Hospital, Henry Ford Health Providence Hospital, Henry Ford Providence Southfield Hospital, Henry Ford Health Providence Southfield Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN DAMSCHRODER (PRESIDENT, VAL BASED ENT &CFO)
(313) 876-8452
Entity
Organization
Contact information
Practice address
16001 W. 9 MILE ROAD, SOUTHFIELD, MI 48075-4818
(243) 349-3000
(248) 746-0384
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
(800) 999-5829
(248) 641-4840
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557875
—
MI
01
—
20277
BLUE CROSS
MI
01
—
21277
BLUE CROSS
MI
Enumeration date
12/21/2005
Last updated
07/16/2026
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