Organization
HENRY FORD HEALTH SYSTEM
Active
Parent organization
HENRY FORD HEAL TH SYS TEM
Other names
Henry Ford Health Products
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENRY FORD HEAL TH SYS TEM
Authorized official
MR. JOHN POLANSKI (VICE PRESIDENT)
(248) 642-1111
Entity
Organization
Contact information
Practice address
21651 MELROSE AVE, SOUTHFIELD, MI 48075-7906
(248) 353-2468
(248) 353-4260
Mailing address
21651 MELROSE AVE, SOUTHFIELD, MI 48075-7906
(248) 353-2468
(248) 353-4260
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4967571
—
MI
01
—
540F30281
BCBS
MI
01
—
73904-U
HAP
MI
Enumeration date
10/24/2005
Last updated
09/10/2010
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