institution
Henry Ford Health System
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Eastpointe, Michigan
NPI 1093735482

Henry Ford Health System is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Bingham Farms, MI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Henry Ford Health System practices in Eastpointe, MI. The NPI Number for Henry Ford Health System is 1093735482 and holds a License No. (Michigan).

The current practice location address for Henry Ford Health System is 21400 Kelly Rd, Eastpointe, MI and can be reached out via phone at 586-779-8779 and via fax at 586-779-8153.

Location: 21400 Kelly Rd, Eastpointe, MI, 48025-4514
institution
Provider Profile Details
NPI Number
1093735482
Provider Name
Henry Ford Health System
Credential
Provider Entity Type
Organization
Address
21400 Kelly Rd, Eastpointe, MI, 48025-4514
Phone Number
586-779-8779
Fax Number
586-779-8153
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
232505 01 HAP
3523427 05 MI
501076 01 ULTI MED
8463770 01 AETNA
08979 01 FEDERAL BLUE CROSS PRIMAR
09495 01 FEDERAL BLUE CROSS SECOND
102251 0001 01 WELLNESS
123051 01 PREFERRED CHOICE
43430 01 GREATLAKES
09495 01 BLUE CROSS SECONDARY
232505 01 PREFERRED HEALTH PLAN
4808E 01 CAPE
P08979 01 BLUE CARE NETWORK
08979 01 BLUE CROSS PRIMARY
123051 01 CARE CHOICES
14300 01 M CARE
institution
Provider Business Practice Location Address Details
Address
21400 Kelly Rd
City
State
Zip
48021-3216
Phone Number
586-779-8779
Fax Number
586-779-8153
person
Provider Business Mailing Address Details
Address
21400 Kelly Rd
City
State
Zip
48021-3216
Phone Number
586-779-8779
Fax Number
586-779-8153
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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