Organization
BI COUNTY MEDICAL PRACTICES
Active
Other names
Henry Ford Macomb Hospital Warren
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY GOODBALIAN (CFO)
(586) 263-2705
Entity
Organization
Contact information
Practice address
13355 E 10 MILE RD, SUITE 229, WARREN, MI 48089-2048
(586) 759-7510
(586) 759-7791
Mailing address
PO BOX 673195, DETROIT, MI 48267-3195
(810) 720-5715
(810) 732-0891
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E000820
BCBSM/BCN
MI
Enumeration date
03/24/2010
Last updated
06/17/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up