Organization
FOREST HEALTH MEDICAL CENTER LLC
Active
Other names
Forest Health Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
EJ LEDESMA (PRESIDENT)
(734) 547-1410
Entity
Organization
Contact information
Practice address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4722
(734) 547-1461
Mailing address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4721
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
5301007213
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135339
PK
—
05
—
304274504
—
MI
Enumeration date
07/22/2006
Last updated
10/22/2018
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