Organization
HENRY FORD HEALTH RIVER DISTRICT HOSPITAL
Active
Other names
St. John River District Hospital - Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
4100 RIVER RD, EAST CHINA, MI 48054-2909
(810) 326-2024
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430G448850
BCBS
MI
Enumeration date
11/20/2006
Last updated
04/25/2026
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