HENRY FORD HEALTH SYSTEM NPI 1053331322

NPI Information

NPI: 1053331322
Provider Name: HENRY FORD HEALTH SYSTEM

Doing Business As: GREENFIELD HEALTH SYSTEMS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 23D2041366

Address:
2799 W GRAND BLVD
FIRST FLOOR
DETROIT, MI
ZIP 48202
Phone: (313) 916-7080
Get Directions

HENRY FORD HEALTH SYSTEM is an end-stage renal disease (esrd) treatment clinic center in Detroit, MI. HENRY FORD HEALTH SYSTEM NPI is 1053331322. The provider is registered as an organization entity type.
The provider Is Doing Business As Greenfield Health Systems.

The provider's business location address is:

2799 W GRAND BLVD
FIRST FLOOR
DETROIT, MI
ZIP 48202-608
Phone: (313) 916-7080
Fax: (313) 916-3123

The provider's authorized official is David F Shepherd .
The authorized official title is Vice President and has the following contact phone number (248) 642-5038.

The CLIA number assigned to this NPI record is 23D2041366 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 7/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	08914	OTHER		BLUE CROSS PRIMARY
2	43430	OTHER		GREATLAKES
3	501076	OTHER		ULTI MED
4	09400	OTHER		FEDERAL BLUE CROSS SECOND
5	8463770	OTHER		AETNA
6	08914	OTHER		FEDERAL BLUE CROSS PRIMAR
7	2610401	MEDICAID	MICHIGAN
8	09400	OTHER		BLUE CROSS SECONDARY
9	232505	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
10	102251 0001	OTHER		WELLNESS
11	123051	OTHER		PREFERRED CHOICE
12	14645	OTHER		M CARE
13	232505	OTHER		HAP
14	4808E	OTHER		CAPE
15	P08914	OTHER		BLUE CARE NETWORK
16	123051	OTHER		CARE CHOICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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