Active NPI
Henry Ford Health System
- General Acute Care Hospital
- Detroit, MI
National Provider Identifier
1992037634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- HENRY FORD HEALTH SYSTEM
- Practice address
- 2799 WG Blvd
Detroit, MI 48202 - Phone
- (313) 916-2710
- NPI assigned
- Feb 5, 2010
- Organization subpart
- Yes
- Parent organization
- YES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Leroy Hayes, FNP BC
- Title
- Nurse Practitioner
- Phone
- (313) 916-2710
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| General Acute Care Hospital | 282N00000X | Primary | ||
| Psychiatric Hospital | 283Q00000X |
Addresses
Primary practice location
2799 WG Blvd
Detroit, MI 48202
Mailing address
826 Edison St
Detroit, MI 48202-1537
Phone (313) 869-2644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364707768 | Other | MI | MEDICAID & MEDICARE |
Other names 1
- Henry Ford Hospital
National Provider Directory
National Provider Directory- Part of
- Henry for Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265328000000",
"number": "1992037634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 EDISON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482021537",
"telephone_number": "313-869-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 WG BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-916-2710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY FORD HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YES",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "LEROY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "313-916-2710",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID & MEDICARE",
"identifier": "364707768",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Ford Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Detroit, MI
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System -Free Standing Clinic
- Henry Ford Health System-School Based Health Initiative
- Henry Ford Health Sytems
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.