Organization
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
Active
Other names
HENRY FORD WARREN HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (MANAGER OF PROVIDER AFFAIRS)
(313) 874-6764
Entity
Organization
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
PO BOX 670884, DETROIT, MI 48267-0884
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F38585
BCBS GROUP NUMBER
MI
Enumeration date
03/13/2007
Last updated
04/16/2026
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