Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
Henry Ford Kingswood Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT YOUNG (VP & CFO HFHS)
(313) 874-3038
Entity
Organization
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-4920
Mailing address
10300 W 8 MILE RD, FERNDALE, MI 48220-2100
(248) 398-3200
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23S053
MEDICARE PTAN
MI
Enumeration date
07/21/2014
Last updated
09/28/2018
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