Organization
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Active
Other names
Henry Ford Providence 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
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-4170
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 746-3200
(248) 746-0384
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00231
BCBSM PROVIDENCE PARK
MI
Enumeration date
11/22/2006
Last updated
01/07/2026
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