Provider Type Icon

HENRY FORD WEST BLOOMFIELD PHYSICIANS NPI 1689658221


NPI Information

NPI: 1689658221
Provider Name: HENRY FORD WEST BLOOMFIELD PHYSICIANS

Other Name: WALLED LAKE MEDICAL CENTER PC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0372738

Address:
2335 S COMMERCE RD
WALLED LAKE, MI
ZIP 48390
Phone: (248) 624-1526
Get Directions

HENRY FORD WEST BLOOMFIELD PHYSICIANS is a family medicine in Walled Lake, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HENRY FORD WEST BLOOMFIELD PHYSICIANS NPI is 1689658221. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Walled Lake Medical Center Pc.

The provider's business location address is:

2335 S COMMERCE RD
WALLED LAKE, MI
ZIP 48390-136
Phone: (248) 624-1526
Fax: (248) 624-9570

The provider's authorized official is Frank L Fenton .
The authorized official title is Physician and has the following contact phone number (248) 624-1526.

The CLIA number assigned to this NPI record is 23D0372738 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 11/12/2014.


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
1207Q00000XFamily MedicineFF007946MICHIGANYes

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: 5/5/2024

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.