NPIMap

Organization Active NPI

Henry Ford Health System

Doing business as Henry Ford Health Products

  • Oxygen Equipment & Supplies (DME)
  • West Branch, MI
National Provider Identifier
1528033800
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
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
109 Plaza East Drive
Suite a
West Branch, MI 48661-1461
Phone
(989) 345-7090
NPI assigned
Feb 21, 2006
Reactivated
Nov 5, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
HENRY FORD HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Ronald C Slyter
Title
VP of Operations-CCS
Phone
(248) 723-0201

Specialties & licenses 1

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

Addresses

Primary practice location

109 Plaza East Drive
Suite a
West Branch, MI 48661-1461

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
540F30281OtherMIBCBS
2333OtherMIHAP
4962575MedicaidMI

Other names 1

  • Henry Ford Health Products Doing business as

National Provider Directory

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

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

Locations

109 Plaza Dr
Ste A
West Branch, MI 48661
Phone (989) 345-7090

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1528033800",
    "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": "248-353-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PLAZA EAST DRIVE",
            "address_2": "SUITE A",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611461",
            "telephone_number": "989-345-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY FORD HEALTH SYSTEM",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-11-05",
        "deactivation_date": "2008-08-14",
        "reactivation_date": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "SLYTER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF OPERATIONS-CCS",
        "authorized_official_telephone_number": "248-723-0201"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540F30281",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "2333",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4962575",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Health Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Branch, MI

Sources for this page

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