Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
GREENFIELD HEALTH SYSTEMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F SHEPHERD (VICE PRESIDENT)
(248) 642-5038
Entity
Organization
Contact information
Practice address
39525 W 14 MILE RD, SUITE 200, NOVI, MI 48377-1632
(248) 723-0219
Mailing address
30100 TELEGRAPH RD, SUITE 200, BINGHAM FARMS, MI 48025-4514
(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
—
K8926
BLUE CROSS PRIMARY
MI
01
—
K9427
BLUE CROSS SECONDARY
MI
Enumeration date
03/07/2012
Last updated
08/13/2013
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