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 (VP COMMUNITY CARE SERVICES)
(248) 642-1111
Entity
Organization
Contact information
Practice address
16151 19 MILE RD, SUITE 105, CLINTON TWP, MI 48038-1158
(586) 203-1040
(586) 203-1041
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
—
540E03061
BCBS OF MICHIGAN
MI
Enumeration date
07/30/2008
Last updated
09/10/2010
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