| Organization Name: | HENRY FORD MACOMB HOSPITAL CORPORATION |
| NPI Number: | 1205060076 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY GOODBALIAN (CHIEF OPERATING OFFICIER) |
| Mailing Address: | 80650 Van Dyke Rd Bruce Twp |
| State: | MI US |
| Postal Code: | 480651333 |
| Phone Number: | 8107986433 |
| Fax Number: | 8107986436 |
| NPI Enumeration Date: | 05/08/2009 |
| NPI Last Update Date: | 05/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |