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

7800 W Outer Dr
Ste 104
Detroit, MI 48235-3461

Phone

(313) 653-2448

Fax

(313) 653-2725

NPI assigned

Feb 21, 2006

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 3

Other names 1

• Henry Ford Health Products Doing business as

Part of

Henry Ford Medical Center Lakeside

Member of 1

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

• P-Cor, LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Farmington Hills, MI
  • NPI 1376794214

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1760457048",
    "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": "7800 W OUTER DR",
            "address_2": "STE 104",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353461",
            "telephone_number": "313-653-2448",
            "fax_number": "313-653-2725"
        }
    ],
    "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": "2010-09-10",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4962600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "540H241560",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "2333",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Health Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System (Henry Ford Pharmacy Shared Services)
• Henry Ford Health System (Henry Ford e-Home Care)
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System

• Oxygen Equipment & Supplies (DME) in Detroit, MI
• Providers in Detroit, 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.