HENRY FORD MACOMB HOSPITAL CORPORATION (NPI# 1568508059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568508059 |
| Entity Type | Organization |
| Organization Name | HENRY FORD MACOMB HOSPITAL CORPORATION |
| Other Organization Name | HENRY FORD MACOMB HEALTH CENTERS - BRUCE TWP./CHESTERFIELD/FRASER |
| Practice Address |
80650 Van Dyke Rd Bruce MI 48065 |
| Mailing Address |
43421 Garfield Rd Ste 203 Clinton Twp MI 48038-1133 |
| Practice Telephone | 8107986430 |
| Practice Fax Number | 8107986436 |
| Mailing Telephone | 5862632622 |
| Mailing Fax Number | 5862632621 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | MR. TERRY A GOODBALIAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5862632705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC GROUP NUMBER | 010E063590 | 01 |
| MI | BC GROUP NUMBER | 700E063590 | 01 |
| MI | BC GROUP NUMBER | 080E063590 | 01 |
| Other Name | Type Code |
|---|---|
| Henry Ford Macomb Health Centers - Bruce Twp./Chesterfield/Fraser | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437532959 | Henry Ford Macomb Hospital Corporation | Clinic/Center | 155 Cass Ave, Mount Clemens, MI 48043-2203 | 2015-07-01 |
| 1225171218 | Henry Ford Macomb Hospital Corporation | Counselor | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-15 |
| 1902842735 | Henry Ford Macomb Hospital Corporation | General Acute Care Hospital | 13355 East 10 Mile Rd, Warren, MI 48089-2048 | 2006-06-21 |
| 1912301094 | Henry Ford Macomb Hospital Corporation | Nurse Practitioner | 1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 | 2014-10-17 |
| 1124421888 | Henry Ford Macomb Hospital Corporation | Physician Assistant | 1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 | 2014-10-08 |
| 1790069714 | Henry Ford Macomb Hospital Corporation | Orthopaedic Surgery | 15520 19 Mile Rd, Suite 430, Clinton Township, MI 48038-6333 | 2011-10-10 |
| 1073844106 | Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2010-01-29 |
| 1205060076 | Henry Ford Macomb Hospital Corporation | Clinic/Center | 80650 Van Dyke Rd, Bruce Twp, MI 48065-1333 | 2009-05-08 |
| 1568643195 | Henry Ford Macomb Hospital Corporation | Rehabilitation, Substance Use Disorder Unit | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2007-11-26 |
| 1194869107 | Henry Ford Macomb Hospital Corporation | Clinical Neuropsychologist | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-16 |
| Street Address |
80650 VAN DYKE RD |
| City | BRUCE |
| State | MI |
| Zip Code | 48065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184696700 | Arti Bajpai | Family Medicine | 80650 Van Dyke Rd, Bruce, MI 48065-1333 | 2006-02-07 |
| 1710075494 | Bernard Bigley | Clinic/Center | 80650 Van Dyke Rd, Bruce, MI 48065-1333 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982063095 | Trilogy Healthcare of Romeo, LLC | Skilled Nursing Facility | 71150 Orchard Crossing Lane, Romeo, MI 48065 | 2016-02-17 |
| 1801288931 | Authentic Living Therapy Center | Social Worker | 254 Fairgrove, Romeo, MI 48065 | 2015-02-26 |
| 1356739122 | Rite Aid Corp | Pharmacy | 298 N Main St, Romeo, MI 48065 | 2015-01-02 |
| 1306010657 | Erica Lee Mason | Physical Therapist | 67962 South Vandyke, Romeo, MI 48065 | 2008-04-17 |
| 1538365945 | Aks of Romeo LLC | Clinic/Center | 67962 S Van Dyke, Romeo, MI 48065 | 2007-06-22 |
| 1124150495 | Rodney Alan Rohloff | Dentist | 155 South Rawles St, Romeo, MI 48065 | 2007-03-12 |
| 1770610420 | Macomb County Mental Health | Community/Behavioral Health | 70288 Hillside Court, Bruce Township, MI 48065 | 2007-02-28 |
| 1801923172 | M Magsoudi Dds PC | Dentist | 229 North Bailey St, Romeo, MI 48065 | 2007-02-27 |
| 1922172436 | Harry Gee | Emergency Medicine | 80650 Van Dyke Avenue, Henry Ford Macomb Hospital, Romeo, MI 48065 | 2006-11-17 |
| 1801987136 | Kimberly C Hazel | Social Worker | 1 N Starkweather Aly Fl 3, Romeo, MI 48065 | 2006-09-28 |
| Find all providers in zip 48065 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710075494 | Bernard Bigley | Clinic/Center | 80650 Van Dyke Rd, Bruce, MI 48065-1333 | 2006-10-10 |
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| 1508417197 | Vps of Mi Pllc | Clinic/Center | 25880 Outer Dr Ste 1, Lincoln Park, MI 48146-1553 | 2019-09-25 |
| 1356804710 | Southshore Urgent Care Pllc. | Clinic/Center | 20789 Gibraltar Rd, Brownstown Twp, MI 48183-5087 | 2019-04-11 |
| 1871054650 | Warren Urgent Care Walk-in Clinic LLC | Clinic/Center | 30736 Hoover Rd, Warren, MI 48093-2555 | 2019-03-26 |
| 1821553587 | Medpointe Urgent Care Walk In Clinic PC | Clinic/Center | 31290 Groesbeck Hwy, Fraser, MI 48026-2517 | 2019-02-07 |
| 1174088066 | Kb Care, Pllc | Clinic/Center | 4563 Washtenaw Ave Ste B, Ann Arbor, MI 48108-1011 | 2019-02-05 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.