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HENRY FORD HEALTH SYSTEM NPI 1568482958


NPI Information

NPI: 1568482958
Provider Name: HENRY FORD HEALTH SYSTEM

Doing Business As: GREENFIELD HEALTH SYSTEM

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 23D0943559

Address:
19001 HUBBARD DR
DEARBORN, MI
ZIP 48126
Phone: (313) 441-1160
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HENRY FORD HEALTH SYSTEM is an end-stage renal disease (esrd) treatment clinic center in Dearborn, MI. HENRY FORD HEALTH SYSTEM NPI is 1568482958. The provider is registered as an organization entity type.
The provider Is Doing Business As Greenfield Health System.

The provider's business location address is:

19001 HUBBARD DR
DEARBORN, MI
ZIP 48126-637
Phone: (313) 441-1160
Fax: (313) 441-1870

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 23D0943559 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 5/27/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109401OTHERBLUE CROSS
24808EOTHERCAPE
308913OTHERBLUE CROSS
408913OTHERFEDERAL BLUE CROSS
5123051OTHERCARE CHOICES
61022510001OTHERWELLNESS
7501076OTHERULTI MED
809401OTHERFEDERAL BLUE CROSS
98463770OTHERAETNA
10232507MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
1114645OTHERM CARE
1243430OTHERGREATLAKES
13123051OTHERPREFERRED CHOICE
14P09401OTHERBLUSE CARE NETWORK
152610519MEDICAIDMICHIGAN
16232505OTHERHAP

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.