Henry Ford Health System

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford Health Products

Practice address

2333 Biddle Ave
1St Floor Main Lobby
Wyandotte, MI 48192-4668

Phone

(734) 246-8797

Fax

(734) 246-8799

NPI assigned

May 21, 2008

Last updated

Sep 10, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

HENRY FORD HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Mr. John Polanski

Title

Vice President

Phone

(248) 642-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Henry Ford Health Products Doing business as

Part of

Henry Ford Health Syste

Member of 1

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

• Pcor LLC

  dba Henry Ford Optimeyes

  • Eyewear Supplier
  • Detroit, MI
  • NPI 1598906695

  Member Of

  NPD member

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1417114992",
    "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": "2333 BIDDLE AVE",
            "address_2": "1ST FLOOR MAIN LOBBY",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924668",
            "telephone_number": "734-246-8797",
            "fax_number": "734-246-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY FORD HEALTH SYSTEM",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "POLANSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-642-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "HAP",
            "identifier": "2333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "540H242140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Health Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hear at Home Services
• David Heimberg, M.D.
• Michelle Mullen Hellar, OTR
• Christina M Henrickson
• Henry Ford Health System
• Henry Ford Wyandotte
• Henry Ford Wyandotte
• Henry Ford Wyandotte Hospital
• Henry Ford Wyandotte Hospital (Henry Ford Medical Center Pharmacy-Wyandotte Hospital)
• Henry Ford Wyandotte Hospital (Henry Ford Health Center Brownstown)

• Oxygen Equipment & Supplies (DME) in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Oxygen Equipment & Supplies (DME) in Michigan

• 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.