institution
Henry Ford Health System
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pontiac, Michigan
NPI 1659391043

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 Pontiac, MI. The NPI Number for Henry Ford Health System is 1659391043 and holds a License No. (Michigan).

The current practice location address for Henry Ford Health System is 44200 Woodward Ave, Pontiac, MI and can be reached out via phone at 248-322-7253 and via fax at 248-322-0311. You can also correspond with Henry Ford Health System through the mailing address at 30100 TELEGRAPH RD, BINGHAM FARMS, MI - 48025-4516 (mailing address contact number: 248-723-0224).

Location: 44200 Woodward Ave, Pontiac, MI, 48025-4516
institution
Provider Profile Details
NPI Number
1659391043
Provider Name
Henry Ford Health System
Credential
Provider Entity Type
Organization
Address
44200 Woodward Ave, Pontiac, MI, 48025-4516
Phone Number
248-322-7253
Fax Number
248-322-0311
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08923 01 BLUE CROSS PRIMARY
08923 01 FEDERAL BLUE CROSS PRIMAR
232505 01 HAP
09409 01 BLUE CROSS SECONDARY
501076 01 ULTI MED
P08923 01 BLUE CARE NETWORK
14645 01 MCARE
8463770 01 AETNA
2726819 05 MI
1022510001 01 WELLNESS
09409 01 FEDERAL BLUE CROSS SECOND
123051 01 CARE CHOICES
43430 01 GREATLAKES
123051 01 PREFERRED CHOICE
institution
Provider Business Practice Location Address Details
Address
44200 Woodward Ave
City
State
Zip
48341-5045
Phone Number
248-322-7253
Fax Number
248-322-0311
person
Provider Business Mailing Address Details
Address
44200 Woodward Ave
City
State
Zip
48341-5045
Phone Number
248-322-7253
Fax Number
248-322-0311
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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