Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
Greenfield Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F SHEPHERD (VICE PRESIDENT)
(248) 642-5038
Entity
Organization
Contact information
Practice address
21400 KELLY RD, EASTPOINTE, MI 48021-3216
(586) 779-8779
(586) 779-8153
Mailing address
30100 TELEGRAPH RD, SUITE 200, BINGHAM FARMS, MI 48025-4514
(248) 723-0224
(248) 642-7852
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08979
FEDERAL BLUE CROSS PRIMAR
—
01
—
09495
FEDERAL BLUE CROSS SECOND
—
01
—
102251 0001
WELLNESS
—
01
—
123051
PREFERRED CHOICE
—
01
—
14300
M CARE
—
01
—
232505
HAP
—
05
—
3523427
—
MI
01
—
43430
GREATLAKES
—
01
—
4808E
CAPE
—
01
—
501076
ULTI MED
—
01
—
8463770
AETNA
—
01
—
P08979
BLUE CARE NETWORK
—
Enumeration date
07/20/2006
Last updated
07/14/2008
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