| Organization Name: | HENRY FORD HEALTH SYSTEM |
| NPI Number: | 1679548952 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN POLANSKI (CEO COMMUNITY CARE SERVICES) |
| Mailing Address: | 159 Kercheval Ave Ste A Grosse Pointe Farms |
| State: | MI US |
| Postal Code: | 482363610 |
| Phone Number: | 3136402458 |
| Fax Number: | 3136402456 |
| NPI Enumeration Date: | 02/21/2006 |
| NPI Last Update Date: | 04/02/2012 |
| 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: | |