| Organization Name: | HENRY FORD HEALTH SYSTEM |
| NPI Number: | 1043476955 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN POLANSKI (VP COMMUNITY CARE SERVICES) |
| Mailing Address: | 16151 19 Mile Rd Suite 105 Clinton Twp |
| State: | MI US |
| Postal Code: | 480381158 |
| Phone Number: | 5862031040 |
| Fax Number: | 5862031041 |
| NPI Enumeration Date: | 07/30/2008 |
| NPI Last Update Date: | 09/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |