Organization
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Active
Other names
PH Cardiology II/Providence Hosptial and Medical Centers Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (DIRECTOR)
(313) 874-6764
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3306
(248) 849-8504
Mailing address
3168 SOLUTIONS CENTER BOX 773168, CHICAGO, IL 60677-0001
(248) 680-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060360240
BCBSM PIN NUMBR
MI
Enumeration date
04/20/2006
Last updated
04/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us