Organization Active NPI

Henry Ford Macomb Hospital Warren Campus

  • Critical Access Hospital
  • Warren, MI
National Provider Identifier
1164692158
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
5101017399 Issued in MI
Legal business name
HENRY FORD MACOMB HOSPITAL WARREN CAMPUS
Practice address
13355 E 10 Mile Rd
Warren, MI 48089-2048
Phone
(586) 759-7691
Fax
(586) 756-2242
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Ms. Olga Kiousis
Title
Residency Coordinator Med Ed.
Phone
(586) 759-7691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 5101017399 MI Primary

Addresses

Primary practice location

13355 E 10 Mile Rd
Warren, MI 48089-2048

Mailing address

13355 E 10 Mile Rd
Warren, MI 48089-2048
Phone (586) 759-7691

National Provider Directory

National Provider Directory
Tax ID family
Henry Ford Medical Center Lakeside158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1164692158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 E 10 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892048",
            "telephone_number": "586-759-7691",
            "fax_number": "586-756-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13355 E 10 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892048",
            "telephone_number": "586-759-7691",
            "fax_number": "586-756-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD MACOMB HOSPITAL WARREN CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "KIOUSIS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "RESIDENCY COORDINATOR MED ED.",
        "authorized_official_telephone_number": "586-759-7691",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "5101017399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.