Organization
HENRY FORD HEALTH RIVER DISTRICT HOSPITAL
Active
Other names
Henry Ford River District Hospital, St. John River District physician practices
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
4100 S RIVER RD, EAST CHINA, MI 48054-2909
(800) 848-0202
(586) 226-6949
Mailing address
2292 SOLUTION CENTER, CHICAGO, IL 60677-0001
(248) 680-8000
(248) 292-3852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
MI
207QA0505X
Adult Medicine Physician
—
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
MI
207RI0200X
Infectious Disease Physician
—
MI
207V00000X
Obstetrics & Gynecology Physician
—
MI
207VG0400X
Gynecology Physician
—
MI
207VM0101X
Maternal & Fetal Medicine Physician
—
MI
207VX0000X
Obstetrics Physician
—
MI
207Y00000X
Otolaryngology Physician
—
MI
207YP0228X
Pediatric Otolaryngology Physician
—
MI
207YS0123X
Facial Plastic Surgery Physician
—
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
MI
207YX0602X
Otolaryngic Allergy Physician
—
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700G410560
BCBSM GROUP NUMBER
MA
Enumeration date
05/22/2006
Last updated
04/10/2026
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