Henry Ford Health River District Hospital
Organization Active NPI Family Medicine Physician · East China, MI
NPI 1265486245 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1265486245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HENRY FORD HEALTH RIVER DISTRICT HOSPITAL
- Practice address
- 4100 S River Rd
East China, MI 48054-2909 - Phone
- (800) 848-0202
- Fax
- (586) 226-6949
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Kimberly Cebalt
- Title
- Director
- Phone
- (313) 874-6764
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Member organizations 2
Practitioners 44
-
Jason Betcher, D.O.
-
David T. Hindy, M.D.
-
Suzanne V. Ross, M.D.
-
Lisa Beth Scheel, D.O.
-
Ashley Gretel Schultz, FNP-C
-
Sabbir Ahmed, M.D.
-
Tammy L Check, MSN, APRN, FNP-C
-
Robert G. Dekker II, M.D.
-
Nicholas B Frisch, M.D.
-
Shoshana Deann Hallowell, M.D.
-
Heidi Hilton Kosch, D.O.
-
Chad Lasceski, M.D.
-
Jeffrey L. Lukas, MD
-
Nathan Evin Marshall, M.D.
-
Jennifer Sue Nimtz, D.O.
-
Mark T. O'Brien, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2324130 | Henry Ford River District Hospital Radiology | Certificate of waiver | May 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040203000465 | MI | Part B Supplier - Clinic/Group Practice | 0446153407 |
Receives reassigned benefits from 32 practitioners 1 other NPI on this enrollment Practice locations: East China, MI; Saint Clair, MI; Riley, MI; Marysville, MI; Algonac, MI |
National Provider Directory
Locations
2292 Solution Ctr
Chicago, IL 60677
2700 Pointe Tremble Rd
Ste B
Algonac, MI 48001
2700 Pointe Tremble Rd
#406
Algonac, MI 48001
Phone (810) 794-9324
43800 Garfield Rd
Ste 201
Clinton Twp, MI 48038
4150 S River Rd
Ste D
East China, MI 48054
Phone (810) 329-8870
4100 River Rd
Bldg 6
East China, MI 48054
4150 S River Rd
Ste 2E
East China, MI 48054
875 Michigan Ave
Marysville, MI 48040
Phone (313) 364-8600
36620 Heritage Dr
Richmond, MI 48062
Phone (586) 727-3275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | MI | Yes | |
| Adolescent Medicine (Family Medicine) Physician |
207QA0000X | MI | ||
| Adult Medicine Physician |
207QA0505X | MI | ||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | MI | ||
| Infectious Disease Physician |
207RI0200X | MI | ||
| Obstetrics & Gynecology Physician |
207V00000X | MI | ||
| Gynecology Physician |
207VG0400X | MI | ||
| Maternal & Fetal Medicine Physician |
207VM0101X | MI | ||
| Obstetrics Physician |
207VX0000X | MI | ||
| Otolaryngology Physician |
207Y00000X | MI | ||
| Pediatric Otolaryngology Physician |
207YP0228X | MI | ||
| Facial Plastic Surgery Physician |
207YS0123X | MI | ||
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
207YX0007X | MI | ||
| Otolaryngic Allergy Physician |
207YX0602X | MI | ||
| Otolaryngology/Facial Plastic Surgery Physician |
207YX0905X | MI |
Addresses
Primary practice location
4100 S River Rd
East China, MI 48054-2909
Mailing address
PO Box 670884
Detroit, MI 48267-0884
Phone (800) 999-5829
Other names
- Henry Ford River District Hospital
- St. John River District physician practices
Other providers in East China, MI
- Dolores Grosso
- Mark S Hamilton
- Megan Leigh Hargrave
- Jill Lynn Henrikson
- Henry Ford Health River District Hospital
- Henry Ford Health River District Hospital
- Lisa M Herbert
- Gina Hobbs
- Christina Janelle Horvath
- Matthew Hulst
All providers in East China, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.