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Organization

HENRY FORD HEALTH SYSTEM

Active
Parent organization
HENRY FORD HEALTH SYSTEM
Other names
Henry Ford Health Products
Organization subpart
Yes

Provider details

NPI number
Legal business name
HENRY FORD HEALTH SYSTEM
Authorized official
JOHN POLANSKI (VICE PRESIDENT)
(248) 723-0211
Entity
Organization

Contact information

Practice address
29200 SCHOOLCRAFT RD, SUITE H, LIVONIA, MI 48150-2228
(734) 523-8644
(734) 523-8634
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
01
540H25973
BLUE COROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/07/2008
Last updated
09/10/2010
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