Organization Active NPI

Henry Ford Health System

  • Oxygen Equipment & Supplies (DME)
  • Clinton TWP, MI
National Provider Identifier
1043476955
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HENRY FORD HEALTH SYSTEM
Practice address
16151 19 Mile Rd
Suite 105
Clinton TWP, MI 48038-1158
Phone
(586) 203-1040
Fax
(586) 203-1041
NPI assigned
Jul 30, 2008
Organization subpart
Yes
Parent organization
HENRY FORD HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Polanski
Title
VP Community Care Services
Phone
(248) 642-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

16151 19 Mile Rd
Suite 105
Clinton TWP, MI 48038-1158

Mailing address

21651 Melrose Ave
Southfield, MI 48075-7906
Phone (248) 353-2468

Other identifiers 1

IdentifierTypeStateIssuer
540E03061OtherMIBCBS OF MICHIGAN

Other names 1

  • Henry Ford Health Products Doing business as

National Provider Directory

National Provider Directory
Part of
Henry for Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1043476955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21651 MELROSE AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757906",
            "telephone_number": "248-353-2468",
            "fax_number": "248-353-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 19 MILE RD",
            "address_2": "SUITE 105",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381158",
            "telephone_number": "586-203-1040",
            "fax_number": "586-203-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY FORD HEALTH SYSTEM",
        "enumeration_date": "2008-07-30",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "POLANSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP COMMUNITY CARE SERVICES",
        "authorized_official_telephone_number": "248-642-1111"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "540E03061",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Health Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.