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
44200 WOODWARD AVE, SUITE 109, PONTIAC, MI 48341-5045
(248) 322-7253
(248) 322-0311
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
—
08923
BLUE CROSS PRIMARY
—
01
—
09409
BLUE CROSS SECONDARY
—
01
—
1022510001
WELLNESS
—
01
—
123051
CARE CHOICES
—
01
—
14645
MCARE
—
01
—
232505
HAP
—
05
—
2726819
—
MI
01
—
43430
GREATLAKES
—
01
—
501076
ULTI MED
—
01
—
8463770
AETNA
—
01
—
P08923
BLUE CARE NETWORK
—
Enumeration date
07/20/2006
Last updated
02/24/2009
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