HENRY FORD HEALTH SYSTEM NPI 1790170777

NPI Information

NPI: 1790170777
Provider Name: HENRY FORD HEALTH SYSTEM
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 23D2078996

Address:
6777 W MAPLE RD
OUTPATIENT PHARMACY
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 325-3820
Get Directions

HENRY FORD HEALTH SYSTEM is a community health clinic center in West Bloomfield, MI. HENRY FORD HEALTH SYSTEM NPI is 1790170777. The provider is registered as an organization entity type.

The provider's business location address is:

6777 W MAPLE RD
OUTPATIENT PHARMACY
WEST BLOOMFIELD, MI
ZIP 48322-013
Phone: (248) 325-3820
Fax: (248) 325-3825

The provider's authorized official is Sura Abdullah .
The authorized official title is Pharmacist and has the following contact phone number (248) 325-3820.

The CLIA number assigned to this NPI record is 23D2078996 - other - outpatient clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2015 and was last updated on 4/6/2015.

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	261QC1500X	Clinic/Center	Community Health			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	5302033171	OTHER	MICHIGAN	STATE LICENSE NUMBER

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »