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HENRY FORD HEALTH SYSTEM NPI 1518987908


NPI Information

NPI: 1518987908
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: 23D0943531

Address:
24565 HAIG ST
TAYLOR, MI
ZIP 48180
Phone: (313) 291-7800
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HENRY FORD HEALTH SYSTEM is an end-stage renal disease (esrd) treatment clinic center in Taylor, MI. HENRY FORD HEALTH SYSTEM NPI is 1518987908. 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:

24565 HAIG ST
TAYLOR, MI
ZIP 48180-322
Phone: (313) 291-7800
Fax: (313) 291-7420

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 23D0943531 - 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11022510001OTHERWELLNESS
2232505OTHERHAP
34808EOTHERCAPE
408916OTHERBLUE CROSS PRIMARY
509402OTHERBLUE CROSS SECONDARY
6501076OTHERULTI MED
78463770OTHERAETNA
8123051OTHERCARE CHOICES
914645OTHERMCARE
102610448MEDICAIDMICHIGAN
1109402OTHERFEDERAL BLUE CROSS SECOND
12123051OTHERPREFERRED CHOICE
1343430OTHERGREATLAKES
1408916OTHERFEDERAL BLUE CROSS PRIMAR
15P08916OTHERBLUE CARE NETWORK
16232510MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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

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