Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
Greenfield Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F SHEPHERD (VICE PRESIDENT)
(248) 642-5038
Entity
Organization
Contact information
Practice address
19001 HUBBARD DR, DEARBORN, MI 48126-2637
(313) 441-1160
(313) 441-1870
Mailing address
30100 TELEGRAPH RD, SUITE 200, BINGHAM FARMS, MI 48025-4516
(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
—
08913
FEDERAL BLUE CROSS
—
01
—
09401
FEDERAL BLUE CROSS
—
01
—
1022510001
WELLNESS
—
01
—
123051
CARE CHOICES
—
01
—
14645
M CARE
—
01
—
232505
HAP
—
05
—
2610519
—
MI
01
—
43430
GREATLAKES
—
01
—
4808E
CAPE
—
01
—
501076
ULTI MED
—
01
—
8463770
AETNA
—
01
—
P09401
BLUSE CARE NETWORK
—
Enumeration date
07/20/2006
Last updated
05/27/2011
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