NPIMap

Organization Active NPI

Henry Ford Macomb Hospital Corporation

  • Urgent Care Clinic/Center
  • Bruce TWP, MI
National Provider Identifier
1205060076
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HENRY FORD MACOMB HOSPITAL CORPORATION
Practice address
80650 Van Dyke Rd
Bruce TWP, MI 48065-1333
Phone
(810) 798-6433
Fax
(810) 798-6436
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Mr. Kelly Ratowski
Title
Director of Provider Affairs
Phone
(248) 703-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MI Primary

Addresses

Primary practice location

80650 Van Dyke Rd
Bruce TWP, MI 48065-1333

Mailing address

80650 Van Dyke Rd
Bruce TWP, MI 48065-1333
Phone (810) 798-6433

Other names 1

  • HENRY FORD MACOMB HEALTH CENTERS-BRUCE TWP/CHESTERFIELD/FRASER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Macomb Cy Com Men H17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1205060076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80650 VAN DYKE RD",
            "city": "BRUCE TWP",
            "state": "MI",
            "postal_code": "480651333",
            "telephone_number": "810-798-6433",
            "fax_number": "810-798-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80650 VAN DYKE RD",
            "city": "BRUCE TWP",
            "state": "MI",
            "postal_code": "480651333",
            "telephone_number": "810-798-6433",
            "fax_number": "810-798-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD MACOMB HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "RATOWSKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER AFFAIRS",
        "authorized_official_telephone_number": "248-703-2003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD MACOMB HEALTH CENTERS-BRUCE TWP/CHESTERFIELD/FRASER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bruce TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.