Organization Active NPI

Henry Ford Health System

  • Oxygen Equipment & Supplies (DME)
  • Woodhaven, MI
National Provider Identifier
1598730871
Registry record updated Nov 15, 2010
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
23400 Allen Rd
Woodhaven, MI 48183-3376
Phone
(734) 676-3813
Fax
(734) 676-4094
NPI assigned
Feb 21, 2006
Organization subpart
Yes
Parent organization
HENRY FORD HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
John Polanski
Title
Vice President
Phone
(248) 642-1111

Specialties & licenses 1

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

Addresses

Primary practice location

23400 Allen Rd
Woodhaven, MI 48183-3376

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
540H242120OtherMIBCBS OF MICHIGAN
2333OtherMIHAP
4962593MedicaidMI

Other names 1

  • Henry Ford Health Products Doing business as

National Provider Directory

National Provider Directory
Part of
Henry for Hospital

Member of 1

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

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": "1289779200000",
    "number": "1598730871",
    "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": "23400 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833376",
            "telephone_number": "734-676-3813",
            "fax_number": "734-676-4094"
        }
    ],
    "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": "2010-11-15",
        "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"
    },
    "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": "BCBS OF MICHIGAN",
            "identifier": "540H242120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "2333",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4962593",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Health Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.